Subcutaneousureteral Ureteral Bypass for Complex Ureteral Stenosis

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2 years ago

Case description

Subcutaneousureteral bypass, also called pyelovesical bypass, is a permanent device used for the treatment of complex ureteral stenosis when all other treatments fail or not indicated, especially in oncologic patients with a permanent neohrostiomy. The solution improves the quality of life and conserves renal function. It consistes of a tube of 29 Fr external PTFE and 17 FR internal diameter silicone component. The proximal end is placed percutaneously into the renal cavities. A subcutaneous tract is created with a tunneler reaching the hypogastrium and the bladder is opened for about 1 cm though a 3-4 cm incision over the pubic bone. The device then is passed through the tunneler until it reaches the bladder. The distal end is then anastomosed to the bladder wall.

tags: ureteral bypass detour URETER ureterureteral stenosis subcutaneous bypass pyelovesical bypass urology video case ureteral stenosis urology surgical device oncologic patient permanent neohrostiomy bladder wall urology surgical technique surgical technique video surgical instructional video urology e-learning urology education

Kamil Rapacz

Kamil Rapacz


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