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Gepubliceerd in: Tijdschrift voor Urologie 1/2011

01-02-2011 | PSOAS HITCH MET RE - IMPLANTATIE VAN DE URETER

De psoas hitch met re-implantatie van de ureter is een betrouwbare procedure voor distale ureterpathologie

Auteurs: drs. D. Duijvesz, drs. M.T.W.T. Lock, drs. R. Kraak, dr. P.C.M.S. Verhagen, prof. dr. J.L.H.R. Bosch

Gepubliceerd in: Tijdschrift voor Urologie | Uitgave 1/2011

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Samenvatting

Introductie: Een psoas hitch met re-implantatie van de ureter kan een therapeutische optie zijn voor meerdere soorten pathologie van de distale ureter. Het doel van dit onderzoek is het weergeven van de langetermijnresultaten na gemiddeld 64 maanden op basis van radiologische en functionele resultaten.
Methode: Statusonderzoek uit 2 verschillende academische urologische klinieken vanaf 1993 tot 2008.
Resultaten: In totaal ondergingen 33 patiënten een psoas hitch ingreep. De follow-up na de ingreep bedroeg gemiddeld 64 maanden. Indicaties voor deze procedure waren voornamelijk peroperatieve beschadigingen van de distale ureter (63,7%). Andere oorzaken waren fistels, fibrose, urotheelcelcarcinoom, trauma en reflux. Preoperatief en 3 maanden postoperatief serumcreatinine en creatinineklaring waren niet verschillend. Het overall succes bleek 93,9% (31/33). De functionele blaascapaciteit varieerde van 200-810 ml.
Conclusie: Deze data geven aan dat re-implantatie samen met een psoas hitch een goede behandeloptie is wanneer een defect in de distale ureter overbrugd moet worden.
Trefwoorden: Psoas hitch, Distaal ureterletsel, Ureter, Stenose, Ureterovesicale reïmplantatie
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Metagegevens
Titel
De psoas hitch met re-implantatie van de ureter is een betrouwbare procedure voor distale ureterpathologie
Auteurs
drs. D. Duijvesz
drs. M.T.W.T. Lock
drs. R. Kraak
dr. P.C.M.S. Verhagen
prof. dr. J.L.H.R. Bosch
Publicatiedatum
01-02-2011
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Urologie / Uitgave 1/2011
Print ISSN: 2211-3037
Elektronisch ISSN: 2211-4718
DOI
https://doi.org/10.1007/s13629-011-0002-0

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