MP53-10 INTESTINAL URETERAL RECONSTRUCTION

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction fistula), Augmentation, Substitution, Diversion II (MP53)1 Sep 2021MP53-10 INTESTINAL URETERAL RECONSTRUCTION Boris Komyakov, Viktor Ochelenko, Bahman Guliev KomyakovBoris Komyakov More articles by this author , OchelenkoViktor Ochelenko GulievBahman View All Author Informationhttps://doi.org/10.1097/JU.0000000000002083.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ureteral substitution with intestinal segments remains a technique choice in patients extended ureteral strictures, but data about long-term results complications these interventions is still limited. The aim study examine the efficacy safety procedures on basis 172 substitutions ileum, colon appendix. METHODS: From 2001 2021 underwent ileum –168 (97.7%) - 4 (2.3%) at our clinic. 31 (18.0%) laparoscopic reconstruction ureter. There were 107 (62.2%) women 65 (37.8%) men median age 54.7±9.1 years (range from 18 71 years). main causes strictures were: retroperitoneal fibrosis following radiation therapy, colorectal gynecological cancer surgery. follow-up including routine laboratory analysis urinary tract imaging. Outpatient visits occurred 3 6 months postoperatively least annually thereafter. RESULTS: follow up period was 20 (mean 9.5±0.8 Postoperative developed 16 (9.3%) cases. Short-term (less than 30 days postoperatively) 12 (6.9%) included: obstruction -4 (2.3%), ileal graft mesentery thrombosis -2 (1.2%), bleeding acute pyelonephritis – (2.3%). Late complication stricture uretero-ileal anastomosis after operation. Thus, which required surgical treatment patients. all operations successful. According renal function restored. no cases metabolic acidosis. CONCLUSIONS: Intestinal safe efficacious multiple strictures. During major are rare good. Source Funding: © American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e942-e942 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...