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Endoluminal ureteroileal anastomosis
Daniel D Cohen1, Wassim Kassouf, Jacques Corcos
1Division of Urology, McGill University, Jewish General Hospital, Montreal, Quebec, Canada.
The Journal of Urology
|August 21, 2002
Summary
This study introduces a novel surgical technique for ureteroileal anastomosis in ileal conduit and neobladder creation. The method ensures direct visualization, potentially reducing complications and the need for postoperative ureteral stents.
Area of Science:
- Urology
- Surgical Techniques
- Reconstructive Surgery
Background:
- Ileal conduit and neobladder formations are common urinary diversion procedures.
- The ureteroileal anastomosis is a critical step, influencing postoperative outcomes.
- Minimizing complications like urinary leakage and the need for ureteral stents is a key surgical goal.
Purpose of the Study:
- To present an alternative surgical technique for ureteroileal anastomosis.
- To describe a method that facilitates direct visualization during anastomosis creation.
- To offer a technique that potentially reduces postoperative morbidity.
Main Methods:
- The technique involves eversion of the proximal ileal segment.
- Exteriorization of the ileal mucosa is a key component.
- Digital imaging and computer graphics were used to illustrate the procedure.
Main Results:
- The described technique allows for direct mucosa-to-mucosa ureteroileal anastomosis.
- Postoperative ureteral stenting is often unnecessary with normal tissue.
- The technique has been performed for 20 years with no observed symptomatic urinary leakage.
Conclusions:
- A novel, alternative technique for ureteroileal anastomosis is presented.
- This method provides direct visualization of the anastomosis.
- The technique is associated with minimal morbidity and a low risk of urinary leakage.