A case of bladder contracture and ureteral stenosis after radiotherapy for cervical cancer treated with bilateral ileal ureter substitution combined with " N-shaped" bladder augmentation and plasty
10.3760/cma.j.cn112330-20240531-00248
- VernacularTitle:回肠代双侧输尿管联合"N"形膀胱扩大成形术治疗宫颈癌放疗后膀胱挛缩输尿管狭窄1例报告
- Author:
Kaile ZHANG
1
;
Jiemin SI
;
Song LI
;
Wenzhuo FANG
;
Ying WANG
;
Ranxing YANG
;
Xiaohui ZHOU
;
Xiaoyong HU
;
Qiang FU
Author Information
1. 上海市第六人民医院泌尿外科 上海东方泌尿修复重建研究所，上海 200233
- Keywords:
Bladder contracture;
Ureteral stenosis;
Intestinal substitution for ureter;
Bladder augmentation;
Cervical cancer;
Radiotherapy
- From:
Chinese Journal of Urology
2024;45(9):711-713
- CountryChina
- Language:Chinese
-
Abstract:
Ureteral stenosis and bladder contracture after radiotherapy for cervical cancer are challenging issues in urology. Ileal ureteroplasty combined with ileal bladder augmentation is a potential method to improve hydronephrosis and voiding function of patients, however, the surgical procedure is complex, with high surgical risks and numerous intraoperative and postoperative complications, which have hindered the widespread application of this surgical technique. This article introduces our hospital's experience through a typical surgical case. During the surgery, ileal substitution for bilateral ureters was performed in combination with ileal " N-shaped" augmentation. Two weeks after the surgery, the single-J stent was removed, and the urinary catheter was removed three weeks after the surgery. The patient achieved voluntary urination control with smooth voiding. Follow-up examinations at 3 months and 18 months postoperatively showed no hydronephrosis in the bilateral ureters, normal renal function, and a significantly expanded bladder capacity.
