A proposed new tecnique for tailoring the megaureter with ureterocele using G.I.A. and endo-G.I.A

Abstract

The very low rate of complications obtained with mechanical sutures in urinary diversions after cystectomy incited the Authors to use the mechanical stapling devices on the upper urinary tract. One case of surgical correction of meaureter with ureterocele has performed using GIA and ENDO-GIA stapling devices. Surgical time is shorter because with GIA stapling devices the ureter is cutted and sutured at the same time. The mechanical suture is tigh but at the same time preserves intact the blood supply to the ureteral wall. The ENDO-GIA devices are very maneageable, far from the body and allow to operate through a small incision of the wound. The follow-up I.V.P. performed 6 months later, shows the absence of urinary stones and a thin, peristaltic ureter with absence of hydronephrosis.