Estébanez Zarranz MJ, Amón Sesmero J, Conde Redondo C, Rodríguez Toves A, Alonso Fernández D, Camacho Parejo J, Martínez-Sagarra Oceja JM. [Treatment of stenosis in uretero-intestinal anastomosis].
Actas Urol Esp 2001;
25:364-9; discussion 369-70. [PMID:
11512261 DOI:
10.1016/s0210-4806(01)72632-0]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
UNLABELLED
We report our experience in the treatment of uretero-enteric anastomotic strictures. Our incidence in this complication is 3.8% in orthotopic bladder substitution and 8.3% in ileal conduict.
MATERIAL AND METHODS
We have treated this complication in 6 patients with orthotopic bladder substitution and 4 with ileal conduict. We tried to perform a dilatation with a high pressure balloon and to place a Double-J catheter.
RESULTS
In 4 cases we could not introduce the guidewire through the stricture because there was a total stop. In the others 6 cases, one is doing well without Double-J, another one did not tolerate the catheter and we performed an open surgical reanastomosis, 2 kept the catheters until their death due to metastases and the other two continue alive with their catheter periodically replaced.
CONCLUSIONS
The direct uretero-enteric anastomoses present less stenoses risk. Endourological techniques should be the first option in treatment of these patients.
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