Ces Urol 2001, 5(3):35-39 | DOI: 10.48095/cccu2001029

Diagnostics and therapy of the ureterointestinal anastomosis

J. Marenčák, R. Moro, M. Jurica, T. Púllová

Urologické oddelenie NsP Skalica

The authors evaluate retrospectively their own clinical experience with diagnostics and therapy of the stenosis of ureterointestinal anastomosis in 19 patients (22 ureterorenal units) with different types of derivation of the urine. In 11 patients (11 ureterorenal units) they solve stenosis in ureterointestinal connection endoscopically and in 8 patients (11 uereterorenal units) they have used open procedure. Long term success has been reached endoscopically in 9 from 11 (81,8 %) patients. Endoscopical treatment has been a method of first and second choice in "benign" stenosis of uretrointestinal anastomosis. Internal ureteral drainage by silicon stent has been important for 6 - 8 weeks after the endoscopic manipulation. Open procedures are still the standard in treatment of the ureterointestinal stenosis with the best long term effect - 90 % but even with higher morbidity and mortality. Indications of the invasive therapy (antiinfectional, endoscopical etc.) are bilateral involvement of proximal urinary tract, relative perspective patients with "malignant" stenosis of the ureterointestinal anastomosis.

Keywords: Stenosis of the ureterointestinal anastomosis, Diagnostics, Therapy

Published: June 1, 2001