Therapy of Long and Multiple Ureteral Strictures by Ileal Substitution without Antireflux Anastomosis
2005
Abstract
The purpose of this work was to evaluate the treatment of long and multiple ureteral strictures by their ileal substitution without an antireflux anastomosis and to cast light on some controversies concerning this method. Twenty patients with average age 58 years (32 to 76 years) have undergone a partial or complete ureteral substitution by ileum with a simple anastomosis to the urinary bladder.
The procedure was bilateral in six cases. In 18 cases the substitutions were primary treatment of the stricture.
The follow-up period lasted from 10 to 78 (mean 41) months