Total proximal ureter substitution using buccal mucosa
The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/63584/ http://psasir.upm.edu.my/id/eprint/63584/1/Total%20proximal%20ureter%20substitution%20using%20buccal%20mucosa.pdf |
| _version_ | 1848854824109473792 |
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| author | Fahmy, Omar Schubert, Tina Khairul‐Asri, Mohd Ghani Stenzl, Arnulf Gakis, Georgios |
| author_facet | Fahmy, Omar Schubert, Tina Khairul‐Asri, Mohd Ghani Stenzl, Arnulf Gakis, Georgios |
| author_sort | Fahmy, Omar |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases. |
| first_indexed | 2025-11-15T11:16:00Z |
| format | Article |
| id | upm-63584 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:16:00Z |
| publishDate | 2017 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-635842018-11-05T01:10:47Z http://psasir.upm.edu.my/id/eprint/63584/ Total proximal ureter substitution using buccal mucosa Fahmy, Omar Schubert, Tina Khairul‐Asri, Mohd Ghani Stenzl, Arnulf Gakis, Georgios The surgical treatment of a long proximal ureteral stricture is a challenging situation for reconstructive surgeons. Despite the underlying morbidities, ileal interposition and autotransplantation are the options available to treat complex cases of long segment ureteral stricture. Buccal mucosa has shown excellent results in urethroplasty. However, its use in ureteral reconstruction is infrequent. We report on a 64‐year‐old female patient with multiple comorbidities and prior abdominal surgeries for Crohn's disease who underwent a successful total substitution of a long segment of the proximal ureter using buccal mucosa. Regular postoperative isotope scans showed improvement in renal function. Based on the pleasant outcome of this case and review of the literature, buccal mucosa might be a viable option with low morbidity in selected cases. Wiley 2017-02 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63584/1/Total%20proximal%20ureter%20substitution%20using%20buccal%20mucosa.pdf Fahmy, Omar and Schubert, Tina and Khairul‐Asri, Mohd Ghani and Stenzl, Arnulf and Gakis, Georgios (2017) Total proximal ureter substitution using buccal mucosa. International Journal of Urology, 24 (4). 320 - 323. ISSN 0919-8172; ESSN: 1442-2042 https://onlinelibrary.wiley.com/doi/abs/10.1111/iju.13307 10.1111/iju.13307 |
| spellingShingle | Fahmy, Omar Schubert, Tina Khairul‐Asri, Mohd Ghani Stenzl, Arnulf Gakis, Georgios Total proximal ureter substitution using buccal mucosa |
| title | Total proximal ureter substitution using buccal mucosa |
| title_full | Total proximal ureter substitution using buccal mucosa |
| title_fullStr | Total proximal ureter substitution using buccal mucosa |
| title_full_unstemmed | Total proximal ureter substitution using buccal mucosa |
| title_short | Total proximal ureter substitution using buccal mucosa |
| title_sort | total proximal ureter substitution using buccal mucosa |
| url | http://psasir.upm.edu.my/id/eprint/63584/ http://psasir.upm.edu.my/id/eprint/63584/ http://psasir.upm.edu.my/id/eprint/63584/ http://psasir.upm.edu.my/id/eprint/63584/1/Total%20proximal%20ureter%20substitution%20using%20buccal%20mucosa.pdf |