Ileal Interposition for the Treatment of a Long Gap Ureteral Loss

WACHIRA KOCHAKARN, M.D.*, WIWAT TIRAPANICH, M.D.**, SAVIT KOSITCHAIWAT, M.D.**

Affiliation : * Division of Urology, ** Division of General Surgery B, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Bangkok 10400, Thailand.

AbstractWe retrospectively reviewed 10 patients (7 males and 3 females) who were treated with ileal interposition for long gap ureteral loss between 1989-1995. The mean patient age was 42 years old (35-52), mean ureteral gap was 18 ems (10-25). The etiology of ureteral loss included : 4 retroperitoneal fibrosis, 2 recurrent stone, 2 after pancreatitis and its complication and 2 after ureteral injury. The mean follow-up was 4 years (2-7). The post operative course was uneventful with no immediate and long term complications detected and there was no metabolic problem. Only asymptomatic bacteriuria in 5 cases (50%) was noted but it was not clinically significant.

Keywords : Ureter, Injury, Ileal Interposition

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