Patients with complex ureteral strictures and a salvageable renal unit present the urologist with a challenging problem. When stricture length and location prohibit direct ureteroneocystos-tomy (with or without bladder mobilization or flap creation) or ureteroureterostomy, another layer of complexity is added to this already difficult issue. The traditional options left for reconstruction, namely bowel interposition, transureteroureterostomy, and autotransplantation, come with their own set of immediate technical complexities and intermediate and long-term complications that leave the surgeon wanting for a more straightforward approach.
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