The answer of spot diagnosis 22

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ileal substitution of both ureters with one 35 cm loop which was anastomosed with its proximal end to the left renal pelvis,  Side to side with its middle portion to the right renal pelvis and with its distal end to the Right bladder dome. Postoperative recovery was uneventful and the patient has been well since, with stable renal function. The right renal dilatation remains.

(European Urology Today, Vol. 27 No. 2, 2015 case study No. 42 by Oliver Hakenberg, Department of Urology, Rostock University Hospital, Germany)  vielen dank


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