Ureteral anastomosis in the orthotopic ileal neobladder: Comparison of 2 techniques

De Carli, P.; Micali, Salvatore; O’Sullivan, D.; Mainiero, G.; Cusumano, G.; Fattahi, H.; Cancrini, A.

PURPOSE: The functional results and complications of 2 different ureteroileal anastomoses were evaluated in patients with bladder cancer undergoing radical cystectomy and orthotopic ileal bladder substitution. MATERIALS AND METHODS: Between 1989 and 1995, 102 patients underwent creation of a low pressure neobladder. In the first 50 cases the ureteroileal anastomosis was created with a split-cuff nipple technique as an additional antireflux mechanism. In the next 52 cases the ureteroileal anastomoses were constructed via the direct end-to-side technique counting on the antireflux protection of the afferent tubular limb. RESULTS: Stenosis occurred in 7 of the 100 ureters (6 patients) treated with the split-cuff nipple technique and 7 of 104 treated with a direct end-to-side anastomosis. This complication occurred more commonly in the left ureter (11 of 14 patients). Reflux was noted at cystography in 10 cases with the split-cuff nipple method and 12 with end-to-side anastomoses, and was symptomatic in only 3 patients. Four ureteral strictures were treated successfully with primary open repair. Percutaneous dilation and stenting were performed for 8 ureteral strictures: 2 cases were successful, 3 failed and 3 are unresolved. CONCLUSIONS: We observed no differences between the antireflux split-cuff and end-to-side anastomoses with regard to stricture formation or ureteral reflux. Therefore, we do not believe that there is a need to create antireflux ureteral anastomoses due to the tubular afferent ileal segment and given that the reflux is asymptomatic in most patients. Strictures may be treated with percutaneous balloon dilation and stenting but open repair appeared to be more effective

Ureteral anastomosis in the orthotopic ileal neobladder: Comparison of 2 techniques / P., De Carli; Micali, Salvatore; D., O’Sullivan; G., Mainiero; G., Cusumano; H., Fattahi; A., Cancrini. - In: THE JOURNAL OF UROLOGY. - ISSN 0022-5347. - ELETTRONICO. - 157(2)(1997), pp. 469-471.

Data di pubblicazione:	1997
Titolo:	Ureteral anastomosis in the orthotopic ileal neobladder: Comparison of 2 techniques
Autore/i:	P., De Carli; Micali, Salvatore; D., O’Sullivan; G., Mainiero; G., Cusumano; H., Fattahi; A., Cancrini
Autore/i UNIMORE:	P. De Carli MICALI, Salvatore D. O’Sullivan G. Mainiero G. Cusumano H. Fattahi A. Cancrini mostra contributor esterni nascondi contributor esterni
Rivista:	THE JOURNAL OF UROLOGY
Volume:	157(2)
Pagina iniziale:	469
Pagina finale:	471
Codice identificativo ISI:	WOS:A1997WC10800012
Codice identificativo Scopus:	2-s2.0-0031021799
Codice identificativo Pubmed:	8996334
Citazione:	Ureteral anastomosis in the orthotopic ileal neobladder: Comparison of 2 techniques / P., De Carli; Micali, Salvatore; D., O’Sullivan; G., Mainiero; G., Cusumano; H., Fattahi; A., Cancrini. - In: THE JOURNAL OF UROLOGY. - ISSN 0022-5347. - ELETTRONICO. - 157(2)(1997), pp. 469-471.
Tipologia	Articolo su rivista

File in questo prodotto:

File	Descrizione	Tipologia
6 - Ureteral anastomosis in the orthotopic ileal neobladder Comparison of 2 techniques.pdf		Post-print dell'autore (bozza post referaggio)	Administrator Richiedi una copia

Utilizza questo identificativo per citare o creare un link a questo documento:
http://hdl.handle.net/11380/710234

Citazioni

I documenti presenti in Iris Unimore sono rilasciati con licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 3.0 Italia, salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris