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Article
August 1928

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ROANOKE, VA.; TORONTO; ANTWERP, BELGIUM; LOS ANGELES

Arch Surg. 1928;17(2):331-354. doi:10.1001/archsurg.1928.01140080161010
Abstract

URETER 

Transplantation.  —Peterson25 believes that the extraperitoneal route is more desirable than the intra-abdominal in the transplantation of the ureters into the bowel. Even with the most skilful care, the wound may become infected, and tight approximation of the suture line is difficult. If urine or feces escape around the opening through the mucosa, the patient usually succumbs, unless the operation has been performed extraperitoneally. Technically, it is not more difficult since the ureters are readily exposed and easily transplanted.Peterson reports several cases of incurable vesicovaginal fistula in which transplantation of the ureters was carried out in order to secure sphincteric urinary control. He does not expose the patient to the additional risk of transplanting both ureters at the same operation.In Coffey's26 earlier papers, he advises the insertion of a small rubber tube into the ureter before transplantation. The greatest trouble in ureteral transplants, especially in

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