We developed a simplified Politano-Leadbetter ureteral reimplantation associated with the psoas-hitch
technique in 10 female patients, aged between 22 and 80 years, who were affected by pelvic ureteral
pathology. After the standard ureteral mobilization through an intravesical and extravesical approach, the
ureter was brought through the new hiatus and through the new submucosal tunnel to the new meatus in just
one step using a new right-angled clamp in which the grasp is effective only in the last 0.5-cm part of the tip.
The follow-up ranged from 1 to 3 years and did not reveal any postoperative complications. This technique
avoids the damage to the submucosal tunnel and reduces the operating time of ureteral
reimplantation.
