Bladder leak - psoas hitch

Discussion:

Bladder leak is risk of bladder and ureteral reconstruction, and it is not uncommon to acquire serial cystograms to monitor the progression of healing of a bladder or distal ureteral injury.

A psoas hitch is a method of adapting to a long distal ureteral injury. In a psoas hitch, the bladder dome is pulled toward the damage ureter to try to physically close the gap between bladder and undamaged ureter. A ureteral re-implantation on the bladder wall is then performed.

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