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[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
PubMed
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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:

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  • 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.