Chronic incomplete obstruction of the ureter: a new experimental model.

To produce a chronic moderate hydronephrosis in dog, a method of partial ureteral occlusion using a specially designed polypropylene obturator was developed. In 11 of 14 dogs undergoing this procedure, excretory urography constantly revealed a moderate degree of hydronephrosis persisting for 7 weeks. Combination of this method in one ureter with the vaginal-cuff cutaneous ureterostomy, previously reported, in the contralateral ureter is a useful model for split renal function study of unilateral chronic hydronephrosis or obstructive nephropathy analogous to that of clinical case.

Muco-cutaneous ureterostomy: an experimental study for prevention of stomal stenosis using autograft of vaginal vestibular mucosa.

To prevent dermal invasion which causes gradual stomal stenosis in cutaneous ureterostomy, transplantation of autologous vaginal vestibular mucosa around the ureteral opening was examined in 9 female dogs. Results of a full-thickness graft to a full-thickness skin bed were hopeful. Though surface keratinization occurred, the thick graft survived well on the abdomen without obvious shrinkage, and the ureteral patency was maintained through the follow-up period with an average of 18 months.

Vaginal cuff cutaneous ureterostomy as a model for split renal function study in dog.

To protect ureteral stoma from necrosis and stenosis in cutaneous ureterostomy, an autograft of the entire vaginal wall to the canine abdomen was investigated. The patency of the ureteral stoma was well preserved for the observation period with an average of 9.4 months in 20 of 29 dogs.

Catheterless cutaneous ureterostomy.

New procedures for tubeless cutaneous ureterostomy are described. The fundamental principles of the methods are 1) an everted ureteral nipple formation combined with a triangular skin flap as a permanent stoma and 2) a 2-stage operation to obtain a viable ureteral nipple against slough and retraction.