URETERO-ILEOPLASTIES

There are several therapeutic procedures for stenosis of the ureter. I leal plasty is indicated in case of extended stenosis or those located in the pelvis when the poor quality of the bladder prevents use of a bladder flap. We report 6 surgical cases from 1977 to 1993, then were 4 women and 2 men, mean age 34 years. Then was an inflammatory cause i n 4 cases (tuberculosis or bilarziosis), retroperitoneal fibrosis in 1 case and idiopathic stenosis in 1. Radiographically, the stenosis was unilateral in the iliac area (3 cases), unilater in the pelvis (1 cas e) and bilateral and iliopelvic in 2 cases. Associated lesions include d bladder injury with a small sclerotic bladder in 3 cases. Partial un ilateral was used in 2 cases, bilateral U ileoplasty in 1 and ileouret ero-cecocystoplasty in 3. Results were good in 5 cases with a follow-u p from 2 months to 7 years. The patient with bilateral U ileoplasy wit hout an antireflux procedure had massive bilateral reflux with renal f ailure and urinary infections. Ileoureteroplasty is indicated in case of extensive stenosis of the ureter. Results are good if an effective antireflux system is installed.