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E-ISSN: 3061-9947
Open Surgical Repair of Retrocaval Ureter Without Excision of Retrocaval Segment: Results of 8 Cases in a Single-Center
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Original Article
VOLUME: 52 ISSUE: 1
P: 112-120
2019

Open Surgical Repair of Retrocaval Ureter Without Excision of Retrocaval Segment: Results of 8 Cases in a Single-Center

Acta Haematol Oncol Turc 2019;52(1):112-120
DOI: 10.5505/aot.2019.95866
Fuat Kızılay 1
Serdar Kalemci 1
Adnan Şimşir 1
Bülent Semerci 1
1. Department of Urology, Ege University, Izmir, Turkey
2.
No information available.
No information available
Received Date: 2018-11-27T00:05:09
Accepted Date: 2019-04-09T13:38:52
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Abstract

INTRODUCTION

Retrocaval ureter (RU) is a rare congenital anomaly characterized by the passage of the ureter through the posterior of the vena cava. We aimed to present the data of 8 cases treated with open surgical repair without excision of the retrocaval segment.

METHODS

Eight patients who were operated with the diagnosis of RU in our clinic between 2005-2018 were included in the study. Demographic data, peri- and postoperative data of the patients were recorded and evaluated. In addition, imaging modalities were recorded. Pre- and postoperative values of T½ values in dynamic scintigraphy were compared. All patients underwent open ureterouretereral anostomosis without excision of the retrocaval segment. SPSS 22.0 was used for statistical analysis and p values less than 0.05 were considered statistically significant.

RESULTS

Five patients were male and 3 were female. The mean age was 36.2 years (25-48). The mean operation time was 64 minutes (58-92). Six patients (75%) presented with flank pain. The mean hospitalization duration was 2.32 days. In the postoperative period, all patients underwent computed tomography-urography and dynamic and static renal scintigraphy with nuclear medicine study. There was no statistically significant difference between preoperative and postoperative static scintigraphy values (p = 0.741), but dynamic renal scintigraphy difference was significant (T½ was 25.7 min. preoperatively and 14.4 min. postoperatively, p = 0.016).

DISCUSSION AND CONCLUSION

Re-anostomosis performed for the retrocaval ureter without any excision of the retrocaval segment yields successful results with minimal postoperative morbidity and short hospital stay.