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

Axel Kristjansson, Lena Engellau, Julian Willner, Wiking Månsson

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

4 !!Citations (SciVal)

Sammanfattning

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.
Originalspråkengelska
Sidor (från-till)425-429
TidskriftScandinavian Journal of Urology and Nephrology
Volym31
Utgåva5
DOI
StatusPublished - 1997

Ämnesklassifikation (UKÄ)

  • Radiologi och bildbehandling

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