In cases of malignant growth, the ureter has
been purposely divided and transplanted into the bladder.
Penrose, assisted by Baldy, has performed this operation after
excision of an inch of the left ureter for carcinomatous
involvement. The distal end of the ureter was ligated, and the
proximal end implanted in the bladder according to Van Hook's
method, which consists in tying the lowered end of the ureter,
then making a slit into it, and invaginating the upper end into
the lower through this slit. A perfect cure followed. Similar
cases have been reported by Kelly, Krug, and Bache Emmet. Reed
reports a most interesting series in which he has successfully
transplanted ureters into the rectum.
Ureterovaginal fistulae following total extirpation of the
uterus, opening of pelvic abscesses, or ulcerations from foreign
bodies, are repaired by an operation termed by Bazy of Paris
ureterocystoneostomy, and suggested by him as a substitute for
nephrectomy in those cases in which the renal organs are
unaffected. In the repair of such a case after a vaginal
hysterectomy Mayo reports a successful reimplantation of the
ureter into the bladder.
Stricture of the ureter is also a very rare occurrence except as
a result of compression of abdominal or pelvic new growths.
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