The Psoas hitch procedure is a universal approach for ureteral reimplantation in all diseases of the distal ureter. Digital ureteral defect due to iatrogenic lesion and chronic inflammation such as tuberculosis, congenital ureteral anomalies including complicated reflux in child are the main indications for the Psoas hitch plasty.
We performed ureteroneocystostomy with Psoas hitch procedure in l4 patients in recent 3 years. We evaluate the preoperative state. operative technique, postoperative course and follow-up of these cases and report with the review of the articles.
The results were as follows:
l. Fourteen cases included 7 ureteral injuries by 3 cases of transabdominal hysterectomy and 4 cases of ureterolithotomy, 3 chronic inflammatory stricture ie. tuberculosis, 2 traffic accidents, l bladder CA. in bladder diverticulum, 1 con genital megaureter.
2. Psoas hitch ureteroneocystostomy was done by submucosal tunnel with Psoas hitch in 9, end to side with Psoas hitch in 3, submucosal tunnel with Psoas hitch and Boari flap in 2 cases.
3. There were improvements in all l4 cases without ureterovesical stenosis or VUR. And functional capacity of the bladder has been well preserved. Postoperative complications were UTI in 3 cases.
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