Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review
Joint Authors
Xiong, Shengwei
Wang, Jie
Zhu, Weijie
Yang, Kunlin
Ding, Guangpu
Li, Xuesong
Eun, Daniel D.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-28
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Ureteroplasty using onlay grafts or flaps emerged as an innovative procedure for the management of proximal and midureteral strictures.
Autologous grafts or flaps used commonly in ureteroplasty include the oral mucosae, bladder mucosae, ileal mucosae, and appendiceal mucosae.
Oral mucosa grafts, especially buccal mucosa grafts (BMGs), have gained wide acceptance as a graft choice for ureteroplasty.
The reported length of BMG ureteroplasty ranged from 1.5 to 11 cm with success rates of 71.4%-100%.
However, several studies have demonstrated that ureteroplasty using lingual mucosa grafts yields better recipient site outcomes and fewer donor site complications than that using BMGs.
In addition, there is no essential difference in the efficacy and complication rates of BMG ureteroplasty using an anterior approach or a posterior approach.
Intestinal graft or flap ureteroplasty was also reported.
And the reported length of ileal or appendiceal flap ureteroplasty ranged from 1 to 8 cm with success rates of 75%-100%.
Moreover, the bladder mucosa, renal pelvis wall, and penile/preputial skin have also been reported to be used for ureteroplasty and have achieved satisfactory outcomes, but each graft or flap has unique advantages and potential problems.
Tissue engineering-based ureteroplasty through the implantation of patched scaffolds, such as the small intestine submucosa, with or without cell seeding, has induced successful ureteral regeneration structurally close to that of the native ureter and has resulted in good functional outcomes in animal models.
American Psychological Association (APA)
Xiong, Shengwei& Wang, Jie& Zhu, Weijie& Yang, Kunlin& Ding, Guangpu& Li, Xuesong…[et al.]. 2020. Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review. BioMed Research International،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1135598
Modern Language Association (MLA)
Xiong, Shengwei…[et al.]. Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review. BioMed Research International No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1135598
American Medical Association (AMA)
Xiong, Shengwei& Wang, Jie& Zhu, Weijie& Yang, Kunlin& Ding, Guangpu& Li, Xuesong…[et al.]. Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1135598
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135598