Introduction/Background Ureter is a structure frequently affected in gynecological tumors, this conditions its resection on certain surgeries. When it isn’t possible direct anastomosis, Boari-flap is a great options for the reconstruction of the urinary tract.

Methodology Cinical case: Patient with a relapse of endometrial cancer infiltrating the left ureter. Partial resection of the proximal ureter is performed, requiring a Boari flap for urinary reconstruction.

Results Video explain

• First, it is important to mobilize the bladder to avoid tension of the ureter. We section the bladder longitudinally. Before, it is useful to fill the bladder with saline.

• Then, we made a longitudinal ureterotomy and we was performed the anastomosis with three triangle-shaped sutures.

• Before closure of the anastomosis, a double J stent placed into the ureter and bladder.

• We approach the bladder flap transversely to the ureter and suture from side-to-side. It is possible to fix the bladder to the psoas to remove tension.

Finally, we suture the free edges of the bladder

Conclusion Boari-flap is a useful option for urinary reconstruction in cases of large ureteral resection. Allows tension-free anastomosis with good results.

Disclosures No disclosure.