Ureteroureterostomy ( "urétero-uréte-róstomy") is end-to-end connection (
anastomosis
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection m ...
) of the two portions of a transected
ureter
The ureters are tubes made of smooth muscle that propel urine from the kidneys to the urinary bladder. In a human adult, the ureters are usually long and around in diameter. The ureter is lined by urothelial cells, a type of transitional epit ...
; also called ureteroureteral
anastomosis
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection m ...
and van Hook operation (after Weller van Hook,
surgeon
In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
).
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Reasons for performing procedure
Ureteroureterostomies are often performed because of injured or scarred ureters, especially when the ureter in question is damaged in its upper third section. Generally if the patient has distal uretral
strictures
A stenosis (from Ancient Greek στενός, "narrow") is an abnormal narrowing in a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture).
''Stricture' ...
(narrowing of the ureter), a ureteroureterostomy is not recommended and a ureter reimplantation would be favorable.
[http://www.urology-textbook.com/ureteroureterostomy.html "Ureteroureterostomy: End-to-End Anastomosis of the Ureter". Manski, Dirk. Urology-textbook.com, 3 January 2014. Accessed 6 July 2014.]
See also
*
Ureterostomy
A ureterostomy is the creation of a stoma (a new, artificial outlet) for a ureter or kidney.}
The procedure is performed to divert the flow of urine away from the bladder when the bladder is not functioning or has been removed. Indications includ ...
References
Urologic surgery
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