Ileal ureter creation for long-segment ureteral injury – A surgical film

Ileal ureter creation (IUC) was first described in 1906 by Shoemaker and later popularized by Goodwin et al in the 1950 s (Goodwin et al., 1959). IUC has been shown in large case series to have a success rate of 69 to 96 %, however is associated with 29.8 to 42.9 % 30-day postoperative complication rate (Monn et al., 2018, Armatys et al., 2009, Zhong et al., 2019). Approximately 75 % of patients have stable serum creatinine after the procedure, however caution is advised in patients with baseline renal impairment (Armatys et al., 2009). IUC can be technically challenging as it involves a larger surgical field for harvesting a segment of bowel and is typically reserved for long-segment injuries deemed not amenable to alternate surgical methods (Armatys et al., 2009). In one study, overall long-term morbidity approximated 23 % therefore careful patient selection and adequate preoperative counseling is necessary (Armatys et al., 2009).