MP48-19 OPEN AND ROBOTIC URETERO-ENTERIC STRICTURE REPAIR: EARLY OUTCOMES AND COMPLICATIONS

• DOI: 10.1097/01.ju.0001009512.15743.d7.19
• Publication Date: 2024-04-15T21:33:57Z
• Authors: Bridget L. Findlay; Elizabeth N. Bear...; Anthony Fadel; Aaron M. Potretzke; Katherine T. Ande...; Boyd R. Viers

You have accessJournal of UrologyReconstruction: Ureteral Reconstruction (Including Pyeloplasty) and Bladder Trauma-Related Fistula) I (MP48)1 May 2024MP48-19 OPEN AND ROBOTIC URETERO-ENTERIC STRICTURE REPAIR: EARLY OUTCOMES COMPLICATIONS Bridget L. Findlay, Elizabeth N. Bearrick, Anthony Fadel, Aaron M. Potretzke, Katherine T. Anderson, Boyd R. Viers FindlayBridget Findlay , BearrickElizabeth Bearrick FadelAnthony Fadel PotretzkeAaron Potretzke AndersonKatherine Anderson ViersBoyd View All Author Informationhttps://doi.org/10.1097/01.JU.0001009512.15743.d7.19AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Up 10% patients undergoing cystectomy with urinary diversion develop ureteroenteric strictures (UES). reconstruction is challenging morbid, therefore often elect for temporizing ureteral stenting which can carry significant burden including loss renal function. Herein, we aim characterize our single institutional experience robotic open UES repair. METHODS: We queried reconstructive database repair between 01/2017-10/2023. Patients <3 months follow up were excluded. Prior surgery, rest (4 weeks) conversion nephrostomy tube precise staging was performed. Clinical characteristics, complications, success (uretero-enteric patency), need repeat intervention, function assessed in reconstruction. RESULTS: A total 50 underwent during the study period, 45 included analysis due complete follow-up. 34/45 (76%) 11/45 (24%) History (34/45; 76%) ileal conduit (31/45; 69%) most common 5/45 (11%) had a history prior radiation. Chronic kidney disease (stage 3III) present 25/45 (56%) median differential 32% (IQR 20-41%) affected unit. In total, performed units 13 7-30) from index surgery. involved left unit (34/50; 68%). intervention occurred 10/50 (20%). When comparing UES, cases significantly more likely undergone (100% vs 68%, p=0.04), longer (median 4.0 1.0 cm, p<0.001), require tissue substitution (27% 3%, lengthier postoperative hospitalization (5 2 days, p<0.001). There no difference operative time (410 322 min) or 30d major complications (18% 21%). group, 3/34 (9%) required conversion. At follow-up months, per patient 100% (11/11) 97% (33/34) robotic, respectively. CONCLUSIONS: select short unlikely advanced techniques, robotic-assisted approach be considered. Careful selection (open robotic) associated limited morbidity, high success, viable alternative long-term deterioration. Source Funding: N/A © 2024 by American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e781 Advertisement Copyright & Permissions© Inc.Metrics Information More articles this author Expand PDF downloadLoading ...