Endourologic Treatment of Ureterointestinal Strictures

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Abstract
Ureterointestinal anastomotic stricture represents a serious complication after total cystectomy and urinary diversion. Surgical revision and reimplantation is the treatment of choice but very often is difficult for the surgeon and not well tolerated by the patient. Ten patients with ureterointestinal stenosis were treated endoscopically with balloon dilation or intraureteral incision with a cold knife and electrode; in four patients, a combination of dilation and incision was performed. Technical success and short-term results were encouraging, but at 12 months' follow-up, only four patients have patent ureters without a stent. Four patients require a change of stent every 3 months, and one patient has a nephrostomy tube and is waiting for surgical revision.