Psoas hitch

Last revised by Yuranga Weerakkody on 9 Aug 2017

A psoas hitch is a method of ureteric re-implantation following distal ureteric resection or injury.

The reconstruction is indicated when the distal ureter is injured or resected for cancer or stricture disease, and the remaining portion of ureter cannot reach the bladder for a ureteroneocystotomy. With the psoas hitch, the bladder is pulled up and secured to the psoas muscle, to reduce the distance between the distal ureter and the bladder so a ureteroneocystotomy can be performed. 

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