TRANSURETERO-URETEROSTOMY - A REVIEW OF 253 CASES

Objectives To review our experience of transureteroureterostomy (TUU), which can be a dangerous procedure if a problem arises with the anast omosis, because both upper urinary tracts are put at risk to deal with a problem that initially affected only one side, Patients and methods TUU was performed in 253 patients following undiversion, trauma or st rictures of the distal ureter, with a Mitrofanoff-type of continent ur inary diversion, or otherwise during reconstructive urological surgery , mainly in association with cystectomy and substitution cystoplasty. The patients were followed and complications or problems reviewed, Res ults Five patients had problems with the distal ureter below the TUU a nd one had problems as a result of stone disease in the transposed ure ter some distance proximal to the TUU, but there were no long-term com plications as a direct result of the TUU. Conclusions Providing the an astomosis is stented until there is radiological evidence of healing o f the TUU, then TUU is a safe and reliable procedure.