Outcomes Following First-Line Endourological Management of Ureteroenteric Anastomotic Strictures after Urinary Diversion: a Single-Center Study

To assess the outcomes of patients following a first-line systematic endo-urological procedure used to treat ureteroenteric anastomotic strictures (UEAS).

All data from patients treated using a first-line endourological approach for UEAS between 2010 and 2015 were reviewed retrospectively. The following data were analyzed: age, type of urinary diversion, initial symptoms, surgical endoscopic approach (antegrade or retrograde), pre- and postoperative creatinine levels, and postoperative complications and outcomes. Follow-up visits occurred at 6 weeks, 3 months, and 6 months postoperatively, and at least annually thereafter.

A total of 27 patients (median age: 62.5 years) were included. Overall 28 UEAS were treated endoscopically (ileal conduit (n=25); neobladder (n=3)). Most UEAS developed following radical cystectomy for bladder cancer (n=19). Overall, the endoscopic approach was successful in 20 cases (71.4%). The UEAS length was > 1 cm in 21 cases (75%). All UEAS of < 1 cm were treated successfully (n=7). There were three grade-II and five grade-III complications. Median follow-up period was 25 months. Median creatinine levels before surgery and at last follow up were 1.3 and 0.9 mg/dL, respectively.

An endo-urological procedure is a reasonable option for first-line treatment for UEAS and has promising functional outcomes and limited morbidity.

Urology. 2016 Oct 17 [Epub ahead of print]

Florie Denise Gomez, Alexandre Thomas, Maxime Sempels, Vlad Nechifor, Catherine Hubert, Julie Leruth, David Waltregny

Department of Urology, University Hospital of Liège, Liège, Belgium. Electronic address: ., Department of Urology, University Hospital of Liège, Liège, Belgium.