Ureterocystoplasty was a novel surgery which was well apt for the patients who are having small capacity urinary bladder along with unilateral weakly functioning megaureter and kidney. The megaureter was detubularized and was used for the urinary bladder augmentation. The ureter lining has an advantage of being non-secretory and are free from the metabolic risks of enterocystoplasty. Ureterocystoplasy was effective and safe procedure for augmenting the small capacity urinary bladder.
PROCEDURE:
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Initially the patient need to place in supine position and the ureters cannulated. The bladder plate was dissected from the adjacent skin and fascia, prior to the opening of the abdomen by a long midline incision.
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The right kidney is hydronephrotic and there is a huge dilated right ureter in retroperitoneal space. Great care need to be taken to organize the ureter and dissection behind the distal end of ureter was avoided, thus preserving the blood supply.
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The right ureter is transected 4–5 cm underneath the right kidney and anastomosed to the left ureter, in which was made a 1-cm longitudinal cut or incision; the right to left TUU were done with a 5/0 polyglycolic acid suture.
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The right ureter were detubularized along with the antimesenteric border, expanded from transected proximal end to vesico-ureteric junction; the open ureteric patch is then sutured on the anterior aspect of bladder plate in the sigmoid configuration along with the 6/0 poliglecaprone, hence completing the UCP.
