Laparoscopic ureteroplasty with buccal mucosa graft for ureteral tuberculosis

Abstract

Tuberculosis of the urinary system is still a surgical disease and a promising direction in its treatment is the development of new methods of reconstruction of the urinary tract. Purpose. This clinical case demonstrates the possibility of using laparoscopic buccal ureteroplasty in a patient with tuberculous obliteration of the lower third of the ureter. Material and methods. The patient, who was repeatedly operated for tuberculosis of the right kidney and ureter, underwent laparoscopic plastic surgery of the lower third of the right ureter using tubularized buccal graft. Results. No significant postoperative complications were observed in the patient. The observation period of the patient was 5 months, no obstruction of the urinary tract has been
identified at the moment. Conclusion. This operation can be recommended as one of the options for the surgical treatment of obstructive uropathy in nephrotuberculosis, as an alternative to more complex reconstructive interventions.