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https://observatorio.fm.usp.br/handle/OPI/26811
Title: | Ureteroileal bypass: a new technic to treat ureteroenteric strictures in urinary diversion |
Authors: | PADOVANI, Guilherme P.; MELLO, Marcos F.; COELHO, Rafael F.; BORGES, Leonardo L.; NESRALLAH, Adriano; SROUGI, Miguel; NAHAS, William C. |
Citation: | INTERNATIONAL BRAZ J UROL, v.44, n.3, p.624-628, 2018 |
Abstract: | Objective: To present our technique of ureteroileal bypass to treat uretero-enteric strictures in urinary diversion. Materials and Methods: One hundred and forty-one medical records were reviewed from patients submitted to radical cystectomy to treat muscle-invasive bladder cancer between 2013 and 2015. Twelve (8.5%) patients developed uretero-enteric anastomotic stricture during follow-up. Five patients were treated with endoscopic dilatation and double J placement. Four were treated surgically with standard terminal-lateral implantation. Three patients with uretero-enteric anastomotic stricture were treated at our institution by ""ureteroileal bypass"", one of them was treated with robotic surgery. Results: All patients had the diagnosis of uretero-enteric anastomotic stricture via computerized tomography and DTPA renal scan. Time between cystectomy and diagnosis of uretero-enteric anastomotic stricture varied from five months to three years. Mean operative time was 120 +/- 17.9 minutes (98 to 142 min) and hospital stay was 3.3 +/- 0.62 days (3 to 4 days). Mean follow-up was 24 +/- 39.5 months (6 to 72 months). During follow-up, all patients were asymptomatic and presented improvement in ureterohydronephrosis. Serum creatinine of all patients had been stable. Conclusions: Latero-lateral ureter re-implantation is feasible by open or even robotic surgery with positive results, reasonable operation time, and without complications. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCG Artigos e Materiais de Revistas Científicas - HC/ICESP Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/55 Artigos e Materiais de Revistas Científicas - ODS/03 |
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art_PADOVANI_Ureteroileal_bypass_a_new_technic_to_treat_ureteroenteric_2018.PDF | publishedVersion (English) | 1.63 MB | Adobe PDF | View/Open |
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