Bilateral ureteral tapering and secondary ureteroneocystostomy for late stenosis in a patient with bladder extrophy

Altobelli E, Emanuela Altobelli, Alfredo M Bove, Bove AM, Federico Sergi, Sergi F, Buscarini M, Maurizio Buscarini
Current urology · 2013 · vol. 6(4) , pp. 212–5 · doi:10.1159/000343542 · PMID:24917746 · PMC3783296
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A 21-year-old woman with bladder exstrophy successfully underwent bilateral ureteral tapering and secondary ureteroneocystostomy to treat severe hydronephrosis resulting from late-onset ureterovesical stricture.

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Abstract

OBJECTIVE: To report a case of severe hydronephrosis 20 years after bladder exstrophy (BE) repair, managed by bilateral ureteral tapering and secondary ureteroneocystostomy. CASE PRESENTATION: A 21-year-old woman with a history of BE and ureteral reimplantation, presented with hematuria-dysuria syndrome and recurrent febrile urinary tract infections. After counselling, she elected to undergo bilateral ureteral tapering and second ureteroneocystostomy. CONCLUSION: Hydronephrosis secondary to ureteralvesical stricture in BE patients can be successfully managed with ureteral reimplantation associated to ureteral tapering even after a prior reimplantation.

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