“In a normal patient there is one kidney on the left and one on the right side and two ureters connecting these kidneys to the bladder. But in this case, we were surprised to see the left kidney lying alone without any connection with the bladder, ” mentioned Dr. Vipin Tyagi, senior marketing consultant, who operated the affected person.
“Since the patient was young and the intestine is not the ideal substitute for the ureter reconstruction. We decided to perform ‘Auto-Kidney Transplant’, which means in this patient taking the normal kidney out from the left side and bringing it close to the bladder on the right side and connecting it with blood vessels going from the abdomen to the right leg (External Iliac Vessels). Now both the kidneys are on the right side,” he added additional.
Dr. Tyagi additional added: “The kidney was close to the bladder but with the gap of 4-5 cms. So, we decided to reconstruct a tube of 4-5 cms using the wall of urinary bladder. As soon as this reconstructed tube was connected to bladder, the blood flow to this kidney restarted and immediately urine started coming out through this tube.”
“The options before us were either to remove the kidney or remake the missing connection between kidney and bladder by using intestine or perform kidney auto transplant,” Dr. Sudhir Chadha, co-chairperson, division of urology, mentioned.
Meanwhile, the affected person had recovered properly and just lately been discharged with each functioning kidneys on one aspect of the physique (proper aspect).