[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study

Objective: To evaluate the treatment of uretero-ileal stenoses after dilatation catheter bladder tumour cystectomy in the Department of Urology, Ehu Oran, Algeria, as the dilatation catheter has been proposed as an alternative to open surgery in the treatment of uretero-ileal stenosis due to its low...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Slimane Kerroumi, Mustafa Djamal Yousfi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/4d3fed68749a4e5d8084197e6d56933b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4d3fed68749a4e5d8084197e6d56933b
record_format	dspace
spelling	oai:doaj.org-article:4d3fed68749a4e5d8084197e6d56933b2021-12-02T10:04:12Z[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study2090-598X10.1016/j.aju.2018.10.005https://doaj.org/article/4d3fed68749a4e5d8084197e6d56933b2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300998https://doaj.org/toc/2090-598XObjective: To evaluate the treatment of uretero-ileal stenoses after dilatation catheter bladder tumour cystectomy in the Department of Urology, Ehu Oran, Algeria, as the dilatation catheter has been proposed as an alternative to open surgery in the treatment of uretero-ileal stenosis due to its low morbidity. Methods: We performed a descriptive study on the results of balloon catheter treatment of uretero-ileal stenosis for a period of 4 years, from 2013 to 2016. Treatment consisted of catheterisation of antegrade or retrograde stenosis, dilatation of the stenosis with the balloon catheter, and then measurement of a mono-J catheter. Results: During the period studied, we performed 92 cystectomies followed by 67 (72.82%) trans-ileal type bypasses. In all, 17 patients (25.3%) developed a stenosis, including eight left stenoses, five straight stenoses, and four bilateral stenoses. The average follow-up was 11.4 months. The average age was 58 years. Most patients had imaging at 3-months postoperatively. The pattern of discovery was fortuitous during an imaging examination for 11 patients (64.7%), emergency admission was evaluated at 35.2% for hyperalgic renal colic, acute renal failure with anuria and pyelonephritis. All patients had an emergency nephrostomy and were then scheduled for dilatation and placement of a mono-J probe. Nine stenoses (eight patients) were permeable with balloon dilatation and placement of a mono-J. In four patients the probe remained with an iterative nephrotomy change, and five patients had open surgery to re-stabilise the stenosis. Seven of the mono-J probes were placed antegrade. Six patients (75%) who received dilatation recurred and had monojector ablation. Conclusion: The dilatation catheter procedure is a minimally invasive and effective therapeutic option to avoid complete stenosis that requires a substantial operative procedure. In our department, this option is considered the first-line treatment, the surgical re-implantation or disassembly of Bricker was reserved for complete waterproof stenosis.Slimane KerroumiMustafa Djamal YousfiTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S25-S26 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Slimane Kerroumi Mustafa Djamal Yousfi [52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
description	Objective: To evaluate the treatment of uretero-ileal stenoses after dilatation catheter bladder tumour cystectomy in the Department of Urology, Ehu Oran, Algeria, as the dilatation catheter has been proposed as an alternative to open surgery in the treatment of uretero-ileal stenosis due to its low morbidity. Methods: We performed a descriptive study on the results of balloon catheter treatment of uretero-ileal stenosis for a period of 4 years, from 2013 to 2016. Treatment consisted of catheterisation of antegrade or retrograde stenosis, dilatation of the stenosis with the balloon catheter, and then measurement of a mono-J catheter. Results: During the period studied, we performed 92 cystectomies followed by 67 (72.82%) trans-ileal type bypasses. In all, 17 patients (25.3%) developed a stenosis, including eight left stenoses, five straight stenoses, and four bilateral stenoses. The average follow-up was 11.4 months. The average age was 58 years. Most patients had imaging at 3-months postoperatively. The pattern of discovery was fortuitous during an imaging examination for 11 patients (64.7%), emergency admission was evaluated at 35.2% for hyperalgic renal colic, acute renal failure with anuria and pyelonephritis. All patients had an emergency nephrostomy and were then scheduled for dilatation and placement of a mono-J probe. Nine stenoses (eight patients) were permeable with balloon dilatation and placement of a mono-J. In four patients the probe remained with an iterative nephrotomy change, and five patients had open surgery to re-stabilise the stenosis. Seven of the mono-J probes were placed antegrade. Six patients (75%) who received dilatation recurred and had monojector ablation. Conclusion: The dilatation catheter procedure is a minimally invasive and effective therapeutic option to avoid complete stenosis that requires a substantial operative procedure. In our department, this option is considered the first-line treatment, the surgical re-implantation or disassembly of Bricker was reserved for complete waterproof stenosis.
format	article
author	Slimane Kerroumi Mustafa Djamal Yousfi
author_facet	Slimane Kerroumi Mustafa Djamal Yousfi
author_sort	Slimane Kerroumi
title	[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
title_short	[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
title_full	[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
title_fullStr	[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
title_full_unstemmed	[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study
title_sort	[52] treatment of uretero-ileal stenosis after dilatation catheter cystectomy: monocentric study
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/4d3fed68749a4e5d8084197e6d56933b
work_keys_str_mv	AT slimanekerroumi 52treatmentofureteroilealstenosisafterdilatationcathetercystectomymonocentricstudy AT mustafadjamalyousfi 52treatmentofureteroilealstenosisafterdilatationcathetercystectomymonocentricstudy
_version_	1718397693217210368

[52] Treatment of uretero-ileal stenosis after dilatation catheter cystectomy: Monocentric study

Ejemplares similares