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CASE REPORT
Year : 2012  |  Volume : 18  |  Issue : 1  |  Page : 30-33

Use of mitrofanoff and Yang-Monti techniques as ureteric substitution for severe schistosomal bilateral ureteric stricture: A case report and review of the literature


1 Department of Surgery, College of Medical Sciences, University of Maiduguri, Nigeria
2 Department of Radiology, College of Medical Sciences, University of Maiduguri, Nigeria
3 Department of Histopathology, College of Medical Sciences, University of Maiduguri, Nigeria

Correspondence Address:
Abubakar Alhaji Bakari
Department of Surgery, College of Medical Sciences, University of Maiduguri, PMB 1069, Maiduguri
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1117-6806.95490

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Distal ureteric stricture is a common complication of urinary schistosomiasis which is a disease more prevalent in the tropics and subtropics. The surgical management of this complication is more challenging when it affects more than half of both ureters. We report the case of a 17-year-old Nigerian with a long standing recurrent painless terminal hematuria associated with bilateral colicky loin pains. Ultrasound scan showed bilateral hydro ureters and hydro nephrosis with deranged biochemical renal function. The patient had bilateral tube nephrostomy and antibiotic therapy. Definitive bilateral ureteric substitution was done using Mitrofanoff technique for the right ureter and Yang-Montie technique for the left ureter. The patient's renal function became normal and he was discharged home without complication. The related literatures were reviewed. Surgical nonurothelial ureteral substitution is necessary for long, extensive, severe bilateral ureteric strictures so as to prevent progressive renal damage and end stage renal failure.


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