- UAA Congress 2025

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Abstract

Abstract Title

laparoscopic Boari Flap Reconstruction for Post-Hysterectomy Ureteral Stricture

Presentation Type

Video Abstract

Manuscript Type

Case Study

Abstract Category *

Functional Urology: Reconstructive Surgery

Author's Information

Number of Authors (including submitting/presenting author) *

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Co-author 1

Saket Singh docsaket89@gmail.com AIIMS Patna Urology Patna India *

Co-author 2

Vinayaka H J hjvinayaka@gmail.com AIIMS Patna Urology Patna India -

Co-author 3

Kamlesh Gunjan kamlesh16jan@gmail.com AIIMS Patna Urology patna India -

Co-author 4

Arvind Kumar arvind5892@gmail.com AIIMS Patna Urology patna India -

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Abstract Content

Introduction

A 51-year-old diabetic, hypertensive female presented with right flank pain 5 months post-abdominal hysterectomy.

Materials and Methods

She had transient urinary leakage resolving spontaneously. CT urography revealed a right mid to lower ureteral fistula with hydroureteronephrosis. Intraoperative retrograde pyelography confirmed a lower ureteric stricture.

Results

Initially laparoscopic ureteric reimplantation with psoas hitch was planned, but after excision of stricture segment of ureter, tension in the ureter necessitated conversion to a Boari flap reconstruction. Postoperative recovery was uneventful, with stent removed at 6 weeks. Follow up diuretic renogram demonstrated unobstructed drainage.

Conclusions

This highlights Boari flap as an effective option for long ureteral defects when primary anastomosis is untenable.

Keywords

URETERIC STRICTURE, BOARI FLAP, LAPAROSCOPY

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