WebUrology Urologists specialize in the male and female urinary tract and male reproductive organs. Urologic organs include the kidneys, adrenal glands, bladder, ureters, urethra, … WebOct 1, 2024 · The psoas hitch is an adjunctive mobility technique to make up length to facilitate more proximal ureteral reimplantations and also a technique that takes off tension on the anastomosis. After the space of Retzius is developed and adequate bladder mobility is achieved, an absorbable suture is used to tack the posterolateral aspect of the ...
Psoas hitch Radiology Reference Article Radiopaedia.org
WebFeb 9, 2024 · A psoas hitch entails mobilization of the bladder with fixation above the iliac vessels to guarantee a tension-free ureteric anastomosis. 5. The ureter is spatulated, and a sub-mucosal tunnel is created at the cranial aspect of the Boari’s flap and the ureter is carefully tunneled through the sub-mucosal tunnel into the bladder. WebSep 13, 2024 · Postoperatively after the first procedure, the patient experienced a dense femoral nerve paralysis with decreased sensation. There was concern for possible involvement of the femoral nerve with psoas hitch sutures. These were identified, robotically removed, and replaced with new sutures. hough enterprises inc
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WebMar 11, 2024 · Indications for intervention in patients with ureteral strictures include pain, infection, or obstruction, which may threaten a patient's kidney function. Less common indications may include stone... WebMay 26, 2024 · In some cases, psoas hitch with transection of the contralateral superior vesical pedicle is not sufficient to perform the anastomosis in a tension-free manner. If additional length is necessary, utilize a Boari flap to reach the distal ureter without tension. Begin by filling the bladder with 300 mL of normal saline. WebMinimally Invasive Urologic Surgery. Make An Appointment Call 781-744-8762. Urologists at the Lahey Hospital & Medical Center Institute of Urology have earned an international … linkedin weekly invitation limit 2022