Reflux, stricture and glomerular filtration rate after two antireflux techniques in continent urinary reconstruction using the right colon

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Reflux, stricture and glomerular filtration rate after two antireflux techniques in continent urinary reconstruction using the right colon. / Kristjansson, Axel; Engellau, Lena; Willner, Julian; Månsson, Wiking.

In: Scandinavian Journal of Urology and Nephrology, Vol. 31, No. 5, 1997, p. 425-429.

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T1 - Reflux, stricture and glomerular filtration rate after two antireflux techniques in continent urinary reconstruction using the right colon

AU - Kristjansson, Axel

AU - Engellau, Lena

AU - Willner, Julian

AU - Månsson, Wiking

PY - 1997

Y1 - 1997

N2 - In the present study the incidence of reflux, stricture formation and changes in glomerular filtration rate in patients with the submucosal tunnel or the Camey-Le Duc technique of ureteric implantation into the caecum/detubularized right colon used for continent cutaneous diversion/orthotopic bladder substitution was investigated. Reflux was found in two renal units and ureterointestinal stenosis occurred in five renal units after submucosal tunnel ureteric implantation. After Camey-Le Duc ureteric implantation, one renal unit showed reflux and none had stenosis of the ureterointestinal anastomosis during follow-up. Mean glomerular filtration rate (ml/min/1.73 m2) fell from 98 to 85 in the submucosal tunnel group and from 88 to 81 in the Camey-Le Duc group after mean follow-ups of 9 and 5 years, respectively. Both methods of ureteric implantation in this study were effective in preventing reflux, and renal function was well preserved in both groups. The absence of ureterointestinal strictures in the Camey-Le Duc group is encouraging and indicates that this is a reliable method for reflux prevention.

AB - In the present study the incidence of reflux, stricture formation and changes in glomerular filtration rate in patients with the submucosal tunnel or the Camey-Le Duc technique of ureteric implantation into the caecum/detubularized right colon used for continent cutaneous diversion/orthotopic bladder substitution was investigated. Reflux was found in two renal units and ureterointestinal stenosis occurred in five renal units after submucosal tunnel ureteric implantation. After Camey-Le Duc ureteric implantation, one renal unit showed reflux and none had stenosis of the ureterointestinal anastomosis during follow-up. Mean glomerular filtration rate (ml/min/1.73 m2) fell from 98 to 85 in the submucosal tunnel group and from 88 to 81 in the Camey-Le Duc group after mean follow-ups of 9 and 5 years, respectively. Both methods of ureteric implantation in this study were effective in preventing reflux, and renal function was well preserved in both groups. The absence of ureterointestinal strictures in the Camey-Le Duc group is encouraging and indicates that this is a reliable method for reflux prevention.

KW - antirefluxing ureteric anastomosis

KW - continent urinary reconstruction

KW - glomerular filtration rate

KW - reflux

KW - stenosis

U2 - 10.3109/00365599709030635

DO - 10.3109/00365599709030635

M3 - Article

VL - 31

SP - 425

EP - 429

JO - Scandinavian Journal of Urology

JF - Scandinavian Journal of Urology

SN - 2168-1813

IS - 5

ER -