{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:29:25Z","timestamp":1793795365288,"version":"4.6.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ureteric injury and subsequent stricture formation following pelvic surgery and radiotherapy for cervical cancer represent a challenging urological complication. The Boari flap technique offers a reliable reconstructive option for bridging long ureteric defects when ureteroneocystostomy alone is insufficient. We report a rare case of successful open Boari flap ureteric reimplantation in an elderly patient who had undergone abdominal hysterectomy and pelvic radiation for carcinoma cervix. A 70-year-old female with a background of carcinoma of the cervix, treated with total abdominal hysterectomy followed by adjuvant external beam pelvic radiotherapy, presented with a 6-month history of right flank pain, recurrent urinary tract infections, and progressive hydroureteronephrosis. Computed tomography urogram and retrograde pyelography confirmed a long-segment distal left ureteric stricture measuring approximately 7 cm just proximal to the vesicoureteric junction secondary to radiation-induced fibrosis. She underwent open Boari flap ureteric reimplantation with psoas hitch augmentation. The intraoperative and postoperative courses were uneventful. At 12-month follow-up, renal function was preserved, and radiological imaging confirmed a patent, nonobstructed upper urinary tract. Open Boari flap ureteric reimplantation remains a viable and effective reconstructive procedure for complex distal ureteric strictures in postradiation, posthysterectomy patients. Careful patient selection, meticulous surgical planning, and close postoperative surveillance are essential to optimize outcomes in this high-risk population.<\/jats:p>","DOI":"10.4103\/aam.aam_414_26","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:00:15Z","timestamp":1784185215000},"page":"S729-S734","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Boari Flap Ureteroneocystostomy in a Radiated Pelvis: A Durable Solution for Complex Distal Ureteric Strictures"],"prefix":"10.4103","volume":"25","author":[{"given":"Suraj","family":"Bhondave","sequence":"first","affiliation":[{"name":"Department of Urology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhar","family":"Salvi","sequence":"additional","affiliation":[{"name":"Department of Urology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"R2-20261104","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/00005373-199901000-00026","article-title":"Ureteric injuries: Diagnosis, management, and outcome","volume":"46","author":"Ghali","year":"1999","journal-title":"J Trauma"},{"key":"R3-20261104","first-page":"1634","article-title":"Delayed presentation of ureteral injuries following hysterectomy","volume":"188","author":"Papadopoulou","year":"2012","journal-title":"J Urol"},{"key":"R4-20261104","first-page":"149","article-title":"Experimental contribution to plastic surgery of the urinary tract [Contributo sperimentale alla plastica delle vie urinarie]","volume":"14","author":"Boari","year":"1894","journal-title":"Atti Accad Sci Med Nat Ferrara"},{"key":"R5-20261104","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/S0022-5347(17)69714-3","article-title":"Reimplantation of the ureter into the bladder by a flap method","volume":"57","author":"Ockerblad","year":"1947","journal-title":"J Urol"},{"key":"R6-20261104","first-page":"136","article-title":"Complications of radiation therapy to the cervix","volume":"46","author":"Shrestha","year":"2007","journal-title":"J Nepal Med Assoc"},{"key":"R7-20261104","first-page":"355","article-title":"Treatment outcome of radiotherapy for FIGO stage IVA cervical cancer with or without hydronephrosis","volume":"84","author":"Mabuchi","year":"2012","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R8-20261104","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/bju.12103","article-title":"Psoas hitch and boari flap ureteroneocystostomy","volume":"112","author":"Stein","year":"2013","journal-title":"BJU 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review","volume":"12","author":"Dellis","year":"2020","journal-title":"Ther Adv Urol"},{"key":"R13-20261104","first-page":"1766","article-title":"Novel technique of robot-assisted ureteroneocystostomy with boari flap and psoas hitch","volume":"192","author":"Lee","year":"2014","journal-title":"J Urol"},{"key":"R14-20261104","first-page":"930","article-title":"Laparoscopic transperitoneal approach to the boari flap","volume":"60","author":"Bentas","year":"2002","journal-title":"Urology"},{"key":"R15-20261104","first-page":"376","article-title":"Laparoscopic ureteral reconstruction with boari flap: A preliminary report","volume":"45","author":"Simonato","year":"2004","journal-title":"Eur Urol"},{"key":"R16-20261104","first-page":"1429","article-title":"Robotic-assisted laparoscopic ureteral reimplantation with psoas hitch: A multi-institutional, multinational evaluation","volume":"54","author":"Patil","year":"2008","journal-title":"Eur Urol"},{"key":"R17-20261104","doi-asserted-by":"crossref","first-page":"e158","DOI":"10.1016\/S1470-2045(12)70472-2","article-title":"Treatment of cancer in Sub-Saharan Africa","volume":"14","author":"Kingham","year":"2013","journal-title":"Lancet Oncol"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_414_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:04:46Z","timestamp":1793793886000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_414_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":16,"journal-issue":{"issue":"Suppl 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