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Simple modification in H autmann neobladder to carry out left ureteroileal anastmosis without mobilization of the ureter
Author(s) -
Elbendary Mohamed,
ElGamal Osama M,
Tawfik Ahmad M,
Elbahnasy Abd ElHameed,
ElMateet Mahmoud S
Publication year - 2014
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12302
Subject(s) - medicine , cystectomy , perioperative , anastomosis , surgery , ureter , pouch , reflux , urology , bladder cancer , disease , cancer
We describe a simple modification in H autmann neobladder that involves an elongation of its left chimney to advance it through the pelvic mesocolon in order to reach the left ureter in its original place. This technique was carried out on 27 patients who had H autmann pouch after radical cystectomy, and we reported the outcome and complications that occurred at the site of urteteroileal anastomosis in the first 3 years after surgery. The modification was applied easily without any perioperative complications that were related to this step in particular. During follow up of these cases, we lost three patients who died before the end of the third postoperative year. At a mean follow up of 41.3 ± 10.2 months, we have not detected any cases of stricture formation or ureteral recurrence at the sites of the ureteroileal anastmosis. There was only one patient who developed acute pyelonephritis (3.7%) as a result of reflux.