Divya Ajay, MD, MPH, presented “Lower Ureteroplasty – Reimplants, Hitch, Boari Flap” during the 1st International Functional and Reconstructive Urology Update on August 30, 2024, in Denver, Colorado.
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How to cite: Ajay, Divya. “Lower Ureteroplasty – Reimplants, Hitch, Boari Flap.” August 30, 2024. Accessed Nov 2024. https://grandroundsinurology.com/lower-ureteroplasty-reimplants-hitch-boari-flap/
Lower Ureteroplasty – Reimplants, Hitch, Boari Flap – Summary
Divya Ajay, MD, MPH, focuses on strategies and considerations for lower ureteroplasty, emphasizing meticulous surgical technique and patient management.
In this 13-minute presentation, Dr. Ajay addresses various causes of ureteral pathology, including trauma, stones, infections, and malignancy. She stresses that successful outcomes depend on detailed preoperative planning, including a thorough understanding of stricture length after removing stents to avoid incomplete assessment.
Ajay outlines common surgical strategies with videos of procedures, including psoas hitch and Boari flap for distal ureteral reconstruction, and advocates for individualized approaches based on anatomy and patient history. The use of stents is debated, with newer evidence suggesting fewer complications in select cases when stents are avoided, though caution is recommended in complex or radiated patients.
About The 1st International Functional and Reconstructive Urology Update (IFRUU)
The International Functional and Reconstructive Urology Update is a multi-day meeting focused on functional and reconstructive urology (FRU). FRU is a rapidly expanding subspecialty with the vision to improve the lives of all patients with urinary disorders. The IFRUU conference aims to equip practitioners with the tools to manage patients with functional urologic disorders effectively. The inaugural IFRUU conference took place from August 28-30, 2024 in Denver, Colorado.
For further educational activities from this conference, visit our collection page.