TY - JOUR
TI - Use of external ureteral catheters and internal double J stents in a
modified ileal neobladder for continent diversion: A comparative
analysis
AU - Varkarakis, IM
AU - Delis, A
AU - Papatsoris, A
AU - Deliveliotis, C
JO - Urologia Internationalis
PY - 2005
VL - 75
TODO - 2
SP - 139-143
PB - Karger
SN - 0042-1138, 1423-0399
TODO - 10.1159/000087168
TODO - bladder cancer; urinary diversion; ureteroileal anastomosis; external
ureteral catheters; internal double J stents; modified ileal neobladder
TODO - Introduction: Open-ended straight ureteral stents are typically used for
the support of the ureteroileal anastomosis during the creation of an
orthotopic ‘S-pouch’ ileal neobladder. The use of double J stents as an
alternative in this setting is evaluated. Materials and Methods: Medical
charts from 43 patients undergoing radical cystectomy with formation of
an ileal ‘S-pouch’ neobladder were retrospectively evaluated. In 30
patients (group A), a 6-Fr open-ended straight ureteral catheter was
used to stent the ureteroileal anastomosis, while a double J stent was
used for the same reason in 13 patients (group B). The ureteral catheter
was removed 15 days afterthe procedure while the double J stent 3 weeks
postoperatively. Hospital stay, early and late complications were
evaluated for both groups during a mean follow-up period of 22.5 and
19.6 months respectively. Results: Stricture of the ureteroileal
anastomosis was observed in 2 (6.6%) and 1 (7.6%) patient of groups A
and B respectively. All complications presented with similar rates,
except for an increased but not statistically significant incidence of
urethrovesical anastomotic leakage and early urinary tract infections in
group B. Hospital stay was significantly (p < 0.005) shorter for
patients of group B (9.9 vs. 15.2 days). Conclusions:The use of double J
stents to support the ureteroileal anastomosis can be used as an
alternative to open-ended ureteral stents. With double J stents a
shorter hospital stay was achieved with similar complication rates but a
higher incidence of upper urinary tract infections. Copyright (c) 2005
S. Karger AG, Basel.
ER -