V09-07 ROBOTIC INTRACORPOREAL SINGLE ILEAL INTERPOSITION FOR BILATERAL URETERAL STRICTURE

You have accessJournal of UrologyUpper Tract Reconstruction (V09)1 Sep 2021V09-07 ROBOTIC INTRACORPOREAL SINGLE ILEAL INTERPOSITION FOR BILATERAL URETERAL STRICTURE Sunchin Kim, and Matthew Gretzer KimSunchin Kim More articles by this author , GretzerMatthew View All Author Informationhttps://doi.org/10.1097/JU.0000000000002052.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bilateral ureteral obstruction is a common complication for patients who undergone radiation treatment cervical cancer. Given the effect bladder, usual reconstructive options are limited becomes challenging problem urologist manage. This video aims offer robotic, completely intracorporeal urinary diversion using single ileal loop interposition bilateral strictures. METHODS: A 29 year old female with cancer underwent robotic radical hysterectomy, salpingectomy, para-aortic lymph node dissection, then treatment. She developed vesicovaginal fistula repair pudendal thigh flap, obliterative strictures at mid-distal junction managed nephrostomy tubes. Discussion other included Boari psoas hitch, buccal augment, appendiceal interposition, autotransplant. Patient was placed in steep Trendelenburg position four 8-mm trocars subcostally one assistant 12 mm port. ureters were dissected out transected level their obliteration. The left ureter tunneled underneath rectum brought over right side spatulated Wallace anastomosis. distance between bladder measured, segment harvested. RESULTS: operative time 5 hours 30 minutes. Estimated blood loss ml. Length stay 8 days no complications, had extended pain control given significant prior narcotics use. Bowel function flatus present on postoperative day 3. Foley catheter place 10 days, stents 6 weeks. Preoperative creatinine 0.83. Post-stent removal 0.55. flexible cystoscopy after stent revealed widely patent vesico-ileal ileo-ureteral anastomoses. CONCLUSIONS: Complete safe feasible option Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e689-e689 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...