# Reconstruction of the Ureter Using the Boari Flap and Psoas Hitch Techniques in a Patient With Damage to the Proximal Part of the Ureter: A Case Report

## TL;DR

A patient with proximal ureter damage was successfully treated using the Boari flap and psoas hitch techniques.

## Contribution

Demonstrates the successful application of the Boari flap for proximal ureter reconstruction, which is less commonly reported.

## Key findings

- The Boari flap and psoas hitch techniques were successfully used to reconstruct the proximal ureter.
- The patient had an uncomplicated recovery and good health after six months of follow-up.

## Abstract

Although the Boari flap technique is commonly described in the literature as a method for primarily distal and middle ureteral injuries, it can also be used for reconstructing the proximal segment of the ureter. In this case study, we present a patient who underwent gynecological surgery with subsequent damage to the proximal ureter, and who underwent ureteral reconstruction using methods such as kidney mobilization, Boari flap, and psoas hitch. The postoperative period was uncomplicated, and after a six-month follow-up, the reconstructed ureter is functioning well, and the patient is in good health.