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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
[The ureter in urinary diversion]
G P da Pozzo1, C Simeone, T Zambolin
1Divisione Clinicizzata di Urologia, Spedali Civili di Brescia.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|March 1, 1993
Summary
Anastomosis stricture is a common complication following urinary diversion surgery. Endourological treatments were ineffective, suggesting surgical intervention is the preferred approach for managing this ureteral pathology.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Urinary diversion is a surgical procedure to create a new way for urine to exit the body.
- Complications can arise from urinary diversion, impacting patient outcomes.
Purpose of the Study:
- To review ureteral pathology in patients who underwent urinary diversion.
- To evaluate the effectiveness of endourological techniques for managing anastomosis stricture.
Main Methods:
- Retrospective review of 297 consecutive urinary diversion procedures performed over 9 years.
- Analysis of complication rates, focusing on ureteral and anastomosis strictures.
- Assessment of outcomes for endourological interventions for stricture treatment.
Main Results:
- Anastomosis stricture (cutaneous or intestinal) was the most frequent complication observed.
- Endourological techniques proved unsatisfactory for definitively curing anastomosis strictures.
- Surgical management was considered the most effective option for these complications.
Conclusions:
- Ureteral and anastomosis strictures are significant complications of urinary diversion.
- Current endourological methods are insufficient for resolving these strictures.
- Surgical intervention remains the primary and most effective treatment strategy.
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