Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature

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...

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Main Authors: Abubakar Alhaji Bakari, Ibrahim Ahmed Gadam, Suleiman Aliyu, Ibrahim Suleiman, Ahmed A Ahidjo, Umaru Hamid Pindiga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Nigerian Journal of Surgery
Subjects:
Online Access:http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=30;epage=33;aulast=Bakari
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author Abubakar Alhaji Bakari
Ibrahim Ahmed Gadam
Suleiman Aliyu
Ibrahim Suleiman
Ahmed A Ahidjo
Umaru Hamid Pindiga
author_facet Abubakar Alhaji Bakari
Ibrahim Ahmed Gadam
Suleiman Aliyu
Ibrahim Suleiman
Ahmed A Ahidjo
Umaru Hamid Pindiga
author_sort Abubakar Alhaji Bakari
collection DOAJ
description 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.
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spelling doaj.art-96d482ad8d2745a99c2dbad32f2218352022-12-22T03:07:29ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062278-71002012-01-01181303310.4103/1117-6806.95490Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literatureAbubakar Alhaji BakariIbrahim Ahmed GadamSuleiman AliyuIbrahim SuleimanAhmed A AhidjoUmaru Hamid PindigaDistal 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.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=30;epage=33;aulast=BakariAppendixintestineschistosomiasisstrictureureterureteric substitution
spellingShingle Abubakar Alhaji Bakari
Ibrahim Ahmed Gadam
Suleiman Aliyu
Ibrahim Suleiman
Ahmed A Ahidjo
Umaru Hamid Pindiga
Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
Nigerian Journal of Surgery
Appendix
intestine
schistosomiasis
stricture
ureter
ureteric substitution
title Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
title_full Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
title_fullStr Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
title_full_unstemmed Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
title_short Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature
title_sort use of mitrofanoff and yang monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture a case report and review of the literature
topic Appendix
intestine
schistosomiasis
stricture
ureter
ureteric substitution
url http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=30;epage=33;aulast=Bakari
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