Left total ureteral substitution using appendix after failed ureteral reimplantation, in infant affected by high vesico-ureteral reflux in a left functionally solitary kidney

Marianna Iaquinto, Emilio Vittorio Merlini, Barbara Tadini, Giovanni Palazzo, Antonio Fonzone Caccese, Roberto De Castro


A ureteric loss is a devastating event and can be corrected with intrinsic urinary tissue using different surgical techniques such as direct anastomosis, psoas hitch, Boari flap, transuretero-ureterostomy and renal autotransplantation. We report a case of successful left ureter total substitution with appendix
after failed ureteral reimplantation and acute renal failure, in an infant affected by high grade vesicoureteral reflux in a left functionally solitary kidney.


Left total ureteral substitution; appendix; solitary kidney

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DOI: http://dx.doi.org/10.14534/j-pucr.2018645051


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