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Efficacy of retrograde stentograms following cystectomy and diversion
S P Manion1, W B Waters, R C Flanigan
1Department of Urology, Loyola University Medical Center, Maywood, Illinois, USA.
Purpose:
The radiological evaluation of ureteroenteric anastomoses following cystectomy and diversion is standard practice at our institution. To our knowledge there are no data that demonstrate the efficacy of retrograde "stentograms" following cystectomy.
Materials And Methods:
A retrospective analysis of the retrograde stentograms of 73 patients who underwent cystectomy and diversion was reviewed.
Results:
Of 135 ureteroenteric anastomoses 3 (2.2%) demonstrated a leak by retrograde stentogram. No patients had evidence of obstruction.
Conclusions:
The 2.2% incidence of ureteroenteric leak in our series does not support the routine use of retrograde stentogram following cystectomy and diversion.