Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture

A 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity...

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Main Authors: Shanmugasundaram Rajaian, Pragatheeswarane Murugavaithianathan, Karrthik Krishnamurthy, Lakshman Murugasen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Urology Annals
Subjects:
Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=87;epage=89;aulast=
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author Shanmugasundaram Rajaian
Pragatheeswarane Murugavaithianathan
Karrthik Krishnamurthy
Lakshman Murugasen
author_facet Shanmugasundaram Rajaian
Pragatheeswarane Murugavaithianathan
Karrthik Krishnamurthy
Lakshman Murugasen
author_sort Shanmugasundaram Rajaian
collection DOAJ
description A 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity was good and Boari bladder flap reached the renal pelvis without tension. Follow-up nephrostogram revealed wide pyelovesical junction with prompt drainage. She completed antituberculous treatment. Extended Boari flap is rarely used for upper ureteric reconstruction. It should be considered as an option for complete ureteric reconstruction in the unilateral pan-ureteral stricture in selected cases.
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spelling doaj.art-7f06d3d868e644279604956bc38a12be2022-12-21T19:29:36ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342020-01-01121878910.4103/UA.UA_165_18Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral strictureShanmugasundaram RajaianPragatheeswarane MurugavaithianathanKarrthik KrishnamurthyLakshman MurugasenA 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity was good and Boari bladder flap reached the renal pelvis without tension. Follow-up nephrostogram revealed wide pyelovesical junction with prompt drainage. She completed antituberculous treatment. Extended Boari flap is rarely used for upper ureteric reconstruction. It should be considered as an option for complete ureteric reconstruction in the unilateral pan-ureteral stricture in selected cases.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=87;epage=89;aulast=boari flapileal uretertuberculosisureteral stricture
spellingShingle Shanmugasundaram Rajaian
Pragatheeswarane Murugavaithianathan
Karrthik Krishnamurthy
Lakshman Murugasen
Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
Urology Annals
boari flap
ileal ureter
tuberculosis
ureteral stricture
title Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
title_full Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
title_fullStr Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
title_full_unstemmed Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
title_short Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
title_sort extended boari flap reconstruction in isolated tuberculous pan ureteral stricture
topic boari flap
ileal ureter
tuberculosis
ureteral stricture
url http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=87;epage=89;aulast=
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AT karrthikkrishnamurthy extendedboariflapreconstructioninisolatedtuberculouspanureteralstricture
AT lakshmanmurugasen extendedboariflapreconstructioninisolatedtuberculouspanureteralstricture