Intestinoureter plastic in tuberculosis and other lesions of the ureter
48 patients 35-69 (51,0 ± 0,6) years old with prolonged or multiple ureteral strictures specific (n = 36) and nonspecific (n = 12) origin underwent intestino ureteroplasty. Preliminary percutaneus nephrostomy was performed in 35 cases with following glomerular filtration (GF) assessment. Shown that initial level of GF less then 10 ml/min indicates on absence of renal reserves. If GF exceeds this value functional recovery of deblocked kidney occurs. Nephrectomy or nephroureterectomy is indicated in the first case and reconstructive surgery - in the second one. Ileal loop for ureteroplasty was used in 45 cases, appendix - in 3. Only ureter was replaced in 26 (54,2%) patients, ureter and bladder - in 22 (45,8%). Unilateral ureteral replacement was done in 43 cases, bilateral - in 5. Established that such kind of surgery saves patients from external drainage of the kidney and significantly improvе the quality of life in late postoperative period. Optimal method of ureteral reconstruction is ileoureteroplasty if it's impossible - appendicoureteroplasty.