By René Küss, Christian Chatelain (auth.)
There has been nice development in ureteral surgical procedure within the final two decades. The important indication remains to be calculous obstruction yet reparative and cosmetic surgery of the ureter for congenital and bought lesions are one of the finest advances in glossy urology. the fundamental aim of this surgical procedure is to make sure unfastened stream of the urine from the kidney to the bladder and in an effort to shield or increase kidney functionality that is regularly affected or threatened through any disorder within the excretory pathway. the fitting is to re-establish a closed circuit circulation from kidney to bladder by way of fix or substitution of the ureteral conduit so one can steer clear of so far as attainable the dis skills that end result from diversion of the urine to the surface floor or to the gut. This target can now be completed within the therapy of lots of the illnesses of the ureter whilst the appropriate kidney is satisfactorily fit to advantage conserva tion. The ideas used are usually not unavoidably new however the introduction of antibiotics has made it attainable to prevent or decrease the dangers of an infection, pyelonephritis, or pyonephrosis that so frequently advanced such surgical procedure in prior instances. development within the research of renal functionality and of the excretory tract has introduced a greater realizing of the physio-pathology of the urinary equipment and extra actual judgement of the result of reparative surgery.