Replacement of ureter by ileum.

PURPOSE OF REVIEW

The challenge of bridging long defects of ureter has been reviewed with particular emphasis on the utilization of ileum.

RECENT FINDINGS

The application of the Yang-Monti principle can provide an ileal tube of adequate length and suitable cross-sectional diameter. An antireflux ileovesical anastomosis is also feasible.

SUMMARY

Although long-term results are still lacking, an ileal tube constructed on the basis of the Yang-Monti principle seems ideal for ureteric substitution.