Anastomotic stricture is a well-known complication of the urinary diversion that accompanies radical cystectomy. Management options range from endoscopic procedures to open surgeries, with a subset of the latter employing bowel as the interposing segment. In this report, we describe a rare patient, who successfully underwent a "Reverse 7" procedure, bypassing strictures at both anastomotic junctions between ureters and neobladder.
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| http://dx.doi.org/10.1016/j.urology.2018.04.022 | DOI Listing |
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Single-Port Robotic Ureteroenteric Stricture Repair: A Retrospective Cohort Review.
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Urology, Orlando Regional Medical Center, Orlando, USA.
Article Synopsis
- This study presents a series of 16 cases using single-port robotic surgery to repair ureteroenteric anastomosis stricture (UES), marking the first documented success with this technique.
- A retrospective review was conducted on patients who underwent this procedure after radical cystectomy from September 2020 to July 2024, assessing demographics and surgical outcomes.
- Results showed that surgeries were accomplished with minimal complications, an average operation time of 265 minutes, and a low average hospital stay of 4.9 days, indicating that this technique is both safe and effective, though further research is recommended.
Objective: To evaluate risk factors contributing to side-specific benign ureteroenteric strictures following radical cystectomy with an ileal conduit.
Materials And Methods: Data obtained from patients with bladder cancer who underwent radical cystectomy with ileal conduit surgery between 2015 and 2018 were retrospectively analysed. Imaging prior to surgery was analysed, regarding calcifications in the aorta, sarcopenia and postoperatively for length of remaining left ureter.
Bricker versus Wallace ureteroileal anastomosis: A multi-institutional propensity score-matched analysis.
Int J Urol
July 2024
Department of Urology, University Hospital Essen, Essen, Germany.
Aim Of The Study: The aim of our study is to evaluate the difference in stricture rate between matched groups of Bricker and Wallace techniques for ureteroileal anastomosis.
Patients And Methods: A retrospective analysis of patients undergoing urinary diversion (UD) with Bricker and Wallace ureteroileal anastomosis at two university hospitals. Two groups of Bricker and Wallace patients were matched in a 1:1 ratio based on the age, sex, body mass index (BMI), Charlson comorbidity index (CCI), preoperative hydronephrosis, prior radiation therapy or abdominal surgery, pathologic T and N stages and 30-days-Clavien grade complications≥III.
Uretero-enteric Strictures After Robot Assisted Radical Cystectomy: Prevalence and Management Over Two Decades.
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Department of Urology, Roswell Park Comprehensive Cancer Center, Buffalo, NY. Electronic address:
Introduction: To evaluate the prevalence, predictors, management, and trends for ureteroenteric strictures (UES) after robot-assisted radical cystectomy (RARC).
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Successful Multidisciplinary Repair of Severe Bilateral Uretero-Enteric Stricture with Inflammatory Reaction Extending to the Left Iliac Artery, after Robotic Radical Cystectomy and Intracorporeal Ileal Neobladder.
Curr Oncol
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Urological Clinic, University Hospital of Padova, 35121 Padova, Italy.
Uretero-enteric anastomotic strictures (UES) after robot-assisted radical cystectomy (RARC) represent the main cause of post-operative renal dysfunction. The gold standard for treatment of UES is open uretero-ileal reimplantation (UIR), which is often a challenging and complex procedure associated with significant morbidity. We report a challenging case of long severe bilateral UES (5 cm on the left side, 3 cm on the right side) after RARC in a 55 years old male patient who was previously treated in another institution and who came to our attention with kidney dysfunction and bilateral ureteral stents from the previous two years.
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