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Giant hydroureteronephrosis Associated with Ipsilateral Inguinal Hernia and Contralateral Hydronephrosis:a Case Study

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Chinese Medical Sciences Journal 2010年第4期25卷 243-245页

作者： Zhi-qiang Wang Xiao-hong Dong Bai-zhi Yang Xiu-hong Wang Department of Urology Shouguang Hospital of Traditional Chinese Medicine Shouguang 262700 China

GIANT hydronephrosis is a rare urological entity. It was first defined as the presence of more than 1000 mL of fluid in the collecting sys-tem.1 That disease is seen more often in males

关键词： heminephroureterectomy hydroureteronephrosis inguinal hernia

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Subadventitial resection of the ureterd-new method for surgical corrections of the ureteropelvic junction and ureterovesical junction obstructions

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Asian Journal of Urology 2023年第2期10卷 195-200页

作者： Akif Memmedoglu Bagirov Department of Urology Azerbaijan Medical UniversityAzerbaijanBakuAzerbaijan

Objective:The aim of our study was to examine results of pyeloplasty using the new methoddsubadventitial resection of the ureter with preservation of the ureteral artery proposed by us and the possibility of using this method in one-stage surgery with ureteropelvic junction(UPJ)and ureterovesical junction(UVJ)obstructions or vesicoureteral ***:A retrospective analysis of 108 patients with hydronephrosis(including two patients with hydroureteronephrosis)who received treatment from March 1998 to March 2020 was carried out,with an average follow-up period of 36 *** pyeloplasty using a subadventitial technique with preservation of ureteral blood supply was performed in 108 patients(including bilateral in two cases).In one patient with UPJ and UVJ obstructions and in one patient with UPJ obstruction and vesicoureteral reflux subadventitial resection of the ureter were performed in both ***:All patients managed to preserve the integrity of the ureteral artery during dismembered pyeloplasty,and two patients simultaneously underwent ureterocystostomy by subadventitial resection of the *** method of pyeloureteroplasty with subadventitial resection of the ureter makes it possible to improve long-term results in patients with hydronephrosis,including those with lesions of the UPJ and UVJ *** all cases,it was feasible to achieve a decrease in the degree of *** complications were observed in five cases(4.6%),in none of which there were complications associated with the surgical technique,and were eliminated without loss of renal ***:Our 22 years of experience shows that the technique of subadventitial resection of the ureter allows us to preserve the ureteral blood circulation during dismembered pyeloplasty and thus creates conditions for prevention of restenosis of UPJ and for single-stage ureteroplasty on the upper and lower ureteral segments.

关键词： Hydronephrosis hydroureteronephrosis Ureteropelvic obstruction Dismembered pyeloplasty Ureterovesical obstruction Subadventitial resection of the ureter

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