Endoscopic treatment of benign ureterointestinal anastomotic strictures in patients with urinary diversion
10.3760/cma.j.issn.1000-6702.2009.06.021
- VernacularTitle:尿流改道术后输尿管肠代膀胱吻合口狭窄的腔内治疗
- Author:
Guohua ZENG
;
Wen ZHONG
;
Houmeng YANG
;
Zhiming GUI
;
Wenzhong CHEN
;
Jian YUAN
- Publication Type:Journal Article
- Keywords:
Urinary diversion;
Stomas strictures;
Endoscopic;
Surgical procedures
- From:
Chinese Journal of Urology
2009;30(6):408-410
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of endourologic treatment of benign uret-erointestinal anastomotic strictures in patients with urinary diversion. Methods Nine cases of benign ureterointestinal anastomotic strictures with a length of 1-3 cm following radical cystectomy and uri-nary diversion accepted endourologic treatment. 8 cases were treated by antegrade percutaneous ap-proach, 1 case by retrograde ureteroscopic approach. The strictures received balloon dilation, and ure-teral stents indewelled. Results In a follow up of 0.5-5.0 years, 1 case received percutaneous ne-phrostomy for complete ureterointestinal anastomotic atresia and refused to open operation reconstruc-tion. 5 cases had no recurrence after 2-3 endoscopic sessions. 3 cases needed long time ureteral stents indwelled. Conclusion Endourological technique for ureterointestinal strictures following urinary di-version avoided the disadvantages of open operation.
