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Bilateral Ureteroenteric Strictures: A Case of the "Reverse 7"
Kareem N Rayn1, Cayde Ritchie1, Les R Folio2
1Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Urology
|May 6, 2018
Summary
This study presents a rare "Reverse 7" procedure successfully treating ureteral strictures after radical cystectomy and urinary diversion. This technique bypassed anastomotic strictures in both ureters and the neobladder.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Anastomotic stricture is a known complication following radical cystectomy with urinary diversion.
- Management strategies for these strictures vary, including endoscopic and open surgical approaches.
- Some open surgeries utilize bowel segments for reconstruction.
Observation:
- A rare case involving ureteral strictures at both ureteroneobladder anastomoses is described.
- The patient underwent a specific surgical technique to address these complex strictures.
Findings:
- The
- Reverse 7
- procedure was successfully performed in this patient.
- This technique effectively bypassed the strictures at both ureteroneobladder anastomotic junctions.
Implications:
- The
- Reverse 7
- procedure offers a potential solution for complex ureteral strictures post-urinary diversion.
- This case highlights an alternative surgical option for managing challenging anastomotic complications.
- Further investigation into the efficacy and applicability of this technique in similar cases is warranted.