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Case Reports
. 2012 Jan;18(1):30-3.
doi: 10.4103/1117-6806.95490.

Use of mitrofanoff and yang-monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: a case report and review of the literature

Abubakar Alhaji Bakari  1 , Ibrahim Ahmed Gadam, Suleiman Aliyu, Ibrahim Suleiman, Ahmed A Ahidjo, Umaru Hamid Pindiga
Affiliations
Case Reports

Use of mitrofanoff and yang-monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: a case report and review of the literature

Abubakar Alhaji Bakari et al. Niger J Surg. 2012 Jan.

Abstract

Distal ureteric stricture is a common complication of urinary schistosomiasis which is a disease more prevalent in the tropics and subtropics. The surgical management of this complication is more challenging when it affects more than half of both ureters. We report the case of a 17-year-old Nigerian with a long standing recurrent painless terminal hematuria associated with bilateral colicky loin pains. Ultrasound scan showed bilateral hydro ureters and hydro nephrosis with deranged biochemical renal function. The patient had bilateral tube nephrostomy and antibiotic therapy. Definitive bilateral ureteric substitution was done using Mitrofanoff technique for the right ureter and Yang-Montie technique for the left ureter. The patient's renal function became normal and he was discharged home without complication. The related literatures were reviewed. Surgical nonurothelial ureteral substitution is necessary for long, extensive, severe bilateral ureteric strictures so as to prevent progressive renal damage and end stage renal failure.

Keywords: Appendix; intestine; schistosomiasis; stricture; ureter; ureteric substitution.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preoperative intravenous urogram
Figure 2
Figure 2
Three segments of intestinal ileum on its mesentery
Figure 3
Figure 3
Segments of intestinal ileum lengthened for left ureteric substitution
Figure 4
Figure 4
Use of appendix as distal right ureteric substitution
Figure 5
Figure 5
Substituted distal ureters left and right
Figure 6
Figure 6
Stents of substituted ureters left and right
Figure 7
Figure 7
Histology of the excised fibrosed ureters showed features of severe schistosomiasis
See this image and copyright information in PMC

References

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