During a 9-year period diversion was performed in 48 patients by an antireflux ureteroileal anastomosis. Followup was possible in 30 patients (57 renal units). Among these 57 ureteroileal anastomoses only 3 cases of stenosis (6 per cent) and 11 cases of reflux (less than 20 per cent) were observed. These results are roughly comparable to those with colon conduits. The 30 patients included 2 in whom the antireflux anastomosis formed part of a continent ileal stoma. The method is described and the results are discussed.
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http://dx.doi.org/10.1016/s0022-5347(17)42508-0 | DOI Listing |
BMJ Case Rep
November 2024
Department of Urology, Hospital Alemán, Buenos Aires, Argentina.
We describe a case of ureteral stricture after radical cystectomy with orthotopic neobladder. The patient presented 4 months after laparoscopic radical cystectomy with intracorporeal orthotopic ileal neobladder, with fever and left lower back pain.Laboratory analysis showed leucocytosis and elevated C reactive protein and creatine levels.
View Article and Find Full Text PDFClin Oncol (R Coll Radiol)
January 2025
Department of Urology, PGIMER, Chandigarh, 160012, India.
Purpose: To compare ileal conduit (IC) and other organ at risk (OAR) dosimetry between treatment techniques in a prospective cohort of patients planned for adjuvant radiotherapy (RT) after radical cystectomy and IC reconstruction.
Methods And Materials: Computed tomography (CT datasets of twenty patients who underwent adjuvant RT were obtained and used prospectively for delineation of target volumes (primary and nodal) and OARs, including IC, uretero-ileal anastomosis and ileal stoma using a specified protocol for simulation including a delayed CT to identify IC. Three RT plans were generated for each patient for a dose of 54 gray (Gy) in 27 fractions (PTV V95% >95%): 3-dimensional conformal radiotherapy (3DCRT) with (3DCRT_S) and without (3DCRT_N) stoma shielding, and volumetric modulated arc therapy (VMAT), with OAR constraints specified for VMAT plans (IC: Dmax<54Gy, V50Gy < 20 cc).
Urol Int
October 2024
Urology Department, Ain Shams University, Cairo, Egypt.
Introduction: The aim of this study was to evaluate the modification of the subserous extramural tunnel for non-refluxing ureteroileal anastomosis in U-shaped pouches using the Wallace technique with a single trough.
Methods: This prospective study was conducted from 2017 to 2022 in a single tertiary center after approval from the Research Ethics Committee of our institution (approval number: FWA 000017585). 45 patients' candidates for radical cystectomy and orthotopic urinary diversion were included in this study.
World J Urol
October 2024
Department of Urology, Hospital Clínic de Barcelona, Villarroel 170, Barcelona, 08036, Spain.
Purpose: The aim of the present study is to assess the role of indocyanine green (ICG) to evaluate distal ureteral vascularity during robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion and its impact on the incidence of benign ureteroenteric strictures (UES).
Methods: The study included patients who underwent RARC for bladder cancer between 2018 and 2023. All patients included underwent intracorporeal urinary diversion with ileal conduit or neobladder.
Eur Urol Focus
September 2024
Department of Urology and Renal Transplantation, Policlinico Riuniti di Foggia, University of Foggia, Foggia, Italy; Department of Urology, Bonomo Teaching Hospital, Andria (BAT), Italy.
Background And Objective: The preferable technique for orthotopic bladder substitution after radical cystectomy is debated. The aim of this study was to describe our technique of a stapled W-shaped ileal neobladder and assess the complications and functional results in 100 patients. treated from December 2009 to July 2022.
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