Modified ureteral stripping as an alternative to open surgical ureterectomy.

Abstract

Using a compression technique instead of the classical invagination technique in cases of total nephroureterectomy improves traction during transurethral stripping of the ureteral stump. Eight patients underwent our modified compression technique. After nephrectomy a kinked 5F ureteral catheter is attached to the ureteral stump with a double ligation. Traction on the ureteral catheter is used to achieve ureteral compression. There were no intraoperative difficulties except for 1 dislodged ureteral catheter. No complications were associated with ureteral detachment or resection. Our technique offers an alternative to the classic invagination technique by increasing transurethral traction on the ureteral stump, while substantially decreasing the risk of ureteral catheter dislodgment.