Noble I G, Lee K T, Mundy A R
Guy's Hospital, London, UK.
Br J Urol. 1997 Jan;79(1):20-3. doi: 10.1046/j.1464-410x.1997.02794.x.
To review our experience of transuretero-ureterostomy (TUU), which can be a dangerous procedure if a problem arises with the anastomosis, because both upper urinary tracts are put at risk to deal with a problem that initially affected only one side.
TUU was performed in 253 patients following undiversion, trauma or strictures of the distal ureter, with a Mitrofanoff-type of continent urinary diversion, or otherwise during reconstructive urological surgery, mainly in association with cystectomy and substitution cystoplasty. The patients were followed and complications or problems reviewed.
Five patients had problems with the distal ureter below the TUU and one had problems as a result of stone disease in the transposed ureter some distance proximal to the TUU, but there were no long-term complications as a direct result of the TUU.
Providing the anastomosis is stented until there is radiological evidence of healing of the TUU, then TUU is a safe and reliable procedure.
回顾我们进行输尿管-输尿管吻合术（TUU）的经验。如果吻合处出现问题，该手术可能会很危险，因为处理最初仅影响一侧的问题时，双侧上尿路都会面临风险。
253例患者接受了TUU手术，手术原因包括输尿管远端去转流、创伤或狭窄、米氏可控性尿流改道术，或在重建性泌尿外科手术期间，主要与膀胱切除术和替代膀胱成形术联合进行。对患者进行随访并审查并发症或问题。
5例患者在TUU下方的输尿管远端出现问题，1例患者在TUU近端一定距离处的移植输尿管因结石病出现问题，但没有直接因TUU导致的长期并发症。
只要在有影像学证据证明TUU愈合之前对吻合处进行支架置入，那么TUU就是一种安全可靠的手术。
