Combined antegrade and retrograde endoscopic treatment of complete ureteroenteric obstruction following cystectomy with ileal conduit: A case report.

Complete ureteroenteric obstruction Cut-to-the-light technique Holmium:YAG laser Simultaneous antegrade and retrograde endoscopic treatment

Journal

Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 14 11 2020
revised: 26 11 2020
accepted: 28 11 2020
entrez: 15 12 2020
pubmed: 16 12 2020
medline: 16 12 2020
Statut: epublish

Résumé

Management of ureteroenteric anastomotic stricture after urinary diversion remains challenging. Although open surgical repair is the gold standard procedure, less invasive endourological intervention is often preferred. In the event of complete obstruction of anastomosis, combined simultaneous antegrade and retrograde endoscopic treatment is required to achieve through-and-through access. Herein we report a case of complete obstruction of ureteroenteric anastomosis following cystectomy with ileal conduit. The cut-to-the-light method was used with a combination of a percutaneous antegrade flexible ureteroscope and a retrograde flexible cystoscope. A holmium:YAG laser incision was made along the full length of the stricture, and through-and-through access was achieved.

Identifiants

pubmed: 33318938
doi: 10.1016/j.eucr.2020.101513
pii: S2214-4420(20)30402-2
pmc: PMC7726673
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101513

Informations de copyright

© 2020 The Authors.

Déclaration de conflit d'intérêts

None.

Références

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pubmed: 32055478
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pubmed: 11912389
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pubmed: 28789635

Auteurs

Harutake Sawazaki (H)

Department of Urology, Tama-hokubu Medical Center, 1-7-1 Aobacho, Higashimurayama, Tokyo, 189-8511, Japan.

Yuichi Arai (Y)

Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

Classifications MeSH