Ileal ureter and renal autotransplantation

It should be reemphazised that the surgical procedures described above should be utilized only when medical means of managing recurrent renal calculi have failed. Any of the operative procedures described may results in spontaneous clearance of calculi from the kidney without the need for repetitive surgical intervention. There are no strict criteria guiding the surgeon in his choice of one procedure versus the others. A few caveats may be emphasized. Patients with diminished renal reserve are poor candidates for ileal interposition. The kidney with impaired renal blood flow is potentially a poor candidate organ for autotransplantation. Other than these basic criteria, the surgeon must be guided in his choice of operative procedures according to the clinical circumstances presented by the patient as well as his own personal operative experience.