Ileal replacement of ureter in genitourinary tuberculosis a case report

Genitourinary tuberculosis is the second most common type of extrapulmonary tuberculosis following lymphnode TB. Tuberculosis can involve any part of the urinary tract with ureteric strictures contributing to a significant cause of obstruction and renal failure. Nearly six decades following the first description of ileal replacement of ureter, this procedure is still feasible when all other modalities seem impossible. We report a 38 year old lady diagnosed to have genitourinary tuberculosis with a pipe stem ureter and a hydronephrotic salvageable kidney who underwent this rare procedure with a successful outcome.