Citation, DOI, disclosures and article data
At the time the article was created Matt A. Morgan had no recorded disclosures.View Matt A. Morgan's current disclosures
At the time the article was last revised Matt A. Morgan had no recorded disclosures.View Matt A. Morgan's current disclosures
Transureteroureterostomy (TUU) is a procedure in which one ureter is divided and then connected (re-routed) into the other. It is performed when a distal ureter needs to be bypassed and can be performed instead of a psoas hitch or Boari flap. It may be preferable if the patient has had prior radiation therapy to the pelvis or prior extensive pelvis surgery.
The main drawback of a TUU is that in order to treat one ureter, both kidneys and ureters are potentially put at risk (e.g. a distal ureteral stone now causes hydronephrosis in both kidneys).
- anastomotic urine leak
- recurrent stricture
History and etymology
First performed in 1935 by Higgins 4.
- 1. Pollack HM, McClennan BL, Dyer RB et-al. Clinical urography. Saunders. ISBN:0721669352. Read it at Google Books - Find it at Amazon
- 2. Ehrlich RM, Skinner DG. Complications of transureteroureterostomy. J. Urol. 1975;113 (4): 467-73. Pubmed citation
- 3. Iwaszko MR, Krambeck AE, Chow GK et-al. Transureteroureterostomy revisited: long-term surgical outcomes. J. Urol. 2010;183 (3): 1055-9. doi:10.1016/j.juro.2009.11.031 - Pubmed citation
- 4. Higgins C. Transuretero-ureteral anastomosis. Report of a clinical case. J Urol. 1935. 34:349.