Boari flap repair is a surgical technique used to bridge a long ureteral defect by creating a flap of bladder tissue (Boari flap) and attaching it to the remaining ureter or kidney pelvis. In renal transplantation, it may be used when the ureter of the transplanted kidney is too short, injured, or damaged, and cannot reach the bladder for a normal ureteroneocystostomy.
Who Needs ?
- Short or damaged ureter of the transplanted kidney
- Ureteral necrosis due to poor blood supply
- Ureteric stricture or fistula after transplantation
- Reconstructive salvage during transplant complications
- When other simpler options (like psoas hitch or reimplantation) are not feasible
How the Procedure Works:
- Surgical Setup
- Boari Flap Creation
- Anastomosis
- Bladder Closure & Recovery
Advantages:
- Allows urine drainage from the transplanted kidney when ureter is too short or damaged
- Preserves graft function
- Avoids the need for nephrostomy or complex bowel interposition
- Good long-term outcomes if performed correctly
Limitations / Risks:
- Bladder capacity must be adequate to create the flap
- Risk of urinary leak or anastomotic stricture
- Infection, especially in immunosuppressed transplant patients
- Longer operative time and complexity
- May not be suitable in patients with small bladder or previous bladder surgeries
Patient Testimonials
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Chennai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
Ann Mary
Chennai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
The procedure went smoothly, and I felt a significant improvement in my breathing and energy levels almost immediately. Thanks to the Impella device, my heart had time to recover, and I was able to avoid more invasive treatments.
John Duo
Mumbai
