Stricture of the Afferent Isoperistaltic Tubular Segment: A Late and Rare Cause of Bilateral Dilation of the Upper Urinary Tract After Ileal Bladder Substitution

Kiss, Bernhard; Schöndorf, Daniel; Studer, Urs E.; Roth, Beat

doi:10.1016/j.urology.2013.05.007

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…However, early and late morbidity is reported in up to 22% of patients [4.9]. Long-term complications include diurnal (8-10%) and nocturnal incontinence (20-30%), ureteral anastomotic stenosis (1.4-18%), urinary retention (4-12%) both in male and female patients [4,9,10,11,12,13]. Stricture of neobladder-urethral anastomosis, a complication that might threaten bladder shape and voiding as well as renal function, has been described in up to 16,9% of patients [14].…”

Section: Commentmentioning

confidence: 99%

Studer Orthotopic Neobladder: A Modified Surgical Technique

Bianchi

Sighinolfi

Pirola

et al. 2016

Urology

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Section: Commentmentioning

confidence: 99%

Studer Orthotopic Neobladder: A Modified Surgical Technique

Bianchi

Sighinolfi

Pirola

et al. 2016

Urology

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“…The afferent limb of the Studer pouch is anastomosed with the bilateral ureters together, so the left one should be tunneled under the mesosigmoid for anastomosis with the afferent ileal segment using the Wallace technique. Left stenosis occurred twice as frequently as on the right side because of extensive dissection [19]; we also had to address both sides although impairment only occurred unilaterally. However, with our technique, we effectively avoid these drawbacks because of the bilateral ureteroileal anastomosis respectively and relatively less ureteral dissection.…”

Section: Discussionmentioning

confidence: 99%

A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy

Pan

Yao

et al. 2020

World J Surg Onc

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Background: The aim of this study is to describe a modified technique in ileal orthotopic bladder substitution with a new ureteroileal anastomosis. Case presentation: After a classic open radical cystectomy with bilateral pelvic lymphadenectomy was performed extraperitoneally, a 56-cm ileal segment was used to construct the spheroidal shape bladder substitution. The 8-cm long proximal and distal ends of the ileal segment were used as afferent limbs. Two-centimeter ileal segments of afferent limbs were detubularized and transversally tubularized. The elongated ileal tube was anastomosed with the ureter in an end-to-end fashion. The pathway of the ureteroileal anastomosis was placed between the abdominal cutaneous fat and the anterior rectus muscular sheath. Perioperative data and long-term functional outcomes were assessed. Between December 2011 and December 2015, seven male patients underwent this procedure with a median 46 (30-77) months follow-up in our hospital. There was no difference between preoperative and postoperative estimated glomerular filtration rates (Z = − 1.693, P = 0.09). One of 14 sides had ureteroileal anastomotic stenosis; two of 14 sides in one patient had ureteroileal anastomotic stenosis caused by invasion of pelvic recurrence 15 months postoperatively. Reflux was completely prevented by placing pressure on the corresponding point on the abdominal surface when voiding urine in all patients. Conclusions:We describe a feasible technique modification in detail, which provides some advantages for effective anti-reflux by mechanical finger pressing and abdominal contraction, a low incidence of stricture, and ease for a secondary operation in the long-term follow-up period.

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Stricture of the Afferent Isoperistaltic Tubular Segment: A Late and Rare Cause of Bilateral Dilation of the Upper Urinary Tract After Ileal Bladder Substitution

Cited by 2 publications

References 25 publications

Studer Orthotopic Neobladder: A Modified Surgical Technique

Studer Orthotopic Neobladder: A Modified Surgical Technique

A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy

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