Evaluation of conservative approach in the management of ureteroenteric strictures following radical cystectomy with Bricker ileal conduit: a single-center experience

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dc.contributor.authorBaten, Evert
dc.contributor.authorAkand, Murat
dc.contributor.authorFloyd, Michael S., Jr.
dc.contributor.authorVan Cleynenbreugel, Ben
dc.contributor.authorAlbersen, Maarten
dc.contributor.authorEveraerts, Wouter
dc.contributor.authorVan Poppel, Hendrik
dc.date.accessioned2020-03-26T19:24:04Z
dc.date.available2020-03-26T19:24:04Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to evaluate the risk factors and treatment options for ureteroenteric strictures (UES) following radical cystectomy (RC) and ileal conduit (IC) formation, and specifically to comment on the conservative management of UES in asymptomatic patients. Materials and methods: The datasheets were reviewed of 304 consecutive patients who were treated with an RC and IC between January 2001 and May 2011 in a Belgian tertiary center and who followed a strict follow-up protocol. Long-term treatment outcomes were retrospectively analyzed. Results: Twenty-two patients (7.2%) were diagnosed with UES (affecting 27 ureters in total), when a new-onset hydroureteronephrosis or increase of the pre-existing hydroureteronephrosis was detected by ultrasound or computed tomography. A retrograde loopogram was then performed to confirm the UES. The mean follow-up time was 33 months. A decline in renal function, the presence of flank pain and urinary tract infections were indications for interventional treatment. Six patients underwent double-J stent placement, two patients received percutaneous nephrostomies as a definitive treatment and two patients underwent ureterointestinal reimplantation. Asymptomatic patients with a UES and a favorable renal function were conservatively managed. They remained asymptomatic during follow-up and required no active treatment. Conclusions: No clinical variable was independently associated with an increased risk of UES. These long-term data suggest that a selected patient population of asymptomatic patients with good renal function at the time of UES diagnosis can be safely managed conservatively.en_US
dc.description.sponsorshipEuropean Urologic Scholarship Program (EUSP)en_US
dc.description.sponsorshipMurat Akand is supported by a clinical scholarship from the European Urologic Scholarship Program (EUSP).en_US
dc.identifier.doi10.1080/21681805.2016.1232307en_US
dc.identifier.endpage444en_US
dc.identifier.issn2168-1805en_US
dc.identifier.issn2168-1813en_US
dc.identifier.issue6en_US
dc.identifier.pmid27686879en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage439en_US
dc.identifier.urihttps://dx.doi.org/10.1080/21681805.2016.1232307
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33570
dc.identifier.volume50en_US
dc.identifier.wosWOS:000386895900006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS LTDen_US
dc.relation.ispartofSCANDINAVIAN JOURNAL OF UROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBladder canceren_US
dc.subjectconservative managementen_US
dc.subjectileal conduiten_US
dc.subjectradical cystectomyen_US
dc.subjectrenal functionen_US
dc.subjectureteroenteric strictureen_US
dc.subjecturinary diversionen_US
dc.titleEvaluation of conservative approach in the management of ureteroenteric strictures following radical cystectomy with Bricker ileal conduit: a single-center experienceen_US
dc.typeArticleen_US

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