| External-internal nephro-uretero-ileal stents in patients with an ileal conduit: long-term results. | |
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MedLine Citation:
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PMID: 15028433 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To describe an improved technique for upper urinary tract drainage in patients with ureteroileal anastomotic stricture after radical cystectomy and urinary diversion to an ileal conduit, and to review our experience and long-term results. METHODS: From 1995 to 2002, 16 patients (18 renal units) with ureteroileal anastomotic stricture after radical cystectomy and urinary diversion to an ileal conduit underwent external-internal nephro-uretero-ileal stent placement. The procedure consisted of three stages: insertion of a percutaneous nephrostomy tube; retrograde external-internal stent placement with the help of an antegrade-inserted wire, leaving the stent's port in the stoma bag; and periodic retrograde stent exchange. The median duration of follow-up was 26.6 months. RESULTS: The overall success rate was 94.7%. No serious complications occurred during the procedure or during follow-up. Patient compliance was fairly good. In 75% of the patients, the stent served as the definitive treatment, avoiding the need for surgical revision. CONCLUSIONS: External-internal nephro-uretero-ileal stent placement can be used successfully and safely as a definitive treatment for anastomosis-related complications in patients after radical cystectomy and urinary diversion to an ileal conduit. |
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Authors:
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Raanan Tal; Gil N Bachar; Jack Baniel; Alexander Belenky |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Review |
Journal Detail:
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Title: Urology Volume: 63 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2004 Mar |
Date Detail:
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Created Date: 2004-03-18 Completed Date: 2004-06-23 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 438-41 Citation Subset: IM |
Affiliation:
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Institute of Urology, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Constriction, Pathologic Cystectomy Equipment Design Female Follow-Up Studies Humans Male Middle Aged Nephrostomy, Percutaneous / instrumentation Patient Compliance Postoperative Complications / surgery* Retrospective Studies Stents* Surgical Procedures, Minimally Invasive Treatment Outcome Ureteral Obstruction / etiology, surgery* Urinary Catheterization Urinary Diversion* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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