title: Further experience with split-cuff nipple ureteral reimplantation in urinary diversion.
abstract: OBJECTIVE
  The intermediate followup results with split-cuff nipple ureteral reimplantation in larger numbers of urinary diversion patients are reviewed.
  
  
  METHODS
  Split-cuff nipple ureteroenteric anastomosis was performed in 98 ureters of 51 adult patients. Mean duration of followup was 23 months (range 3 to 62). Two minor variations in technique compared to the original report are presented.
  
  
  RESULTS
  Urinary reflux was prevented in 97.6 and 96.8% of cases at 1 and 2-year followup, respectively. Ureteroenteric anastomotic obstruction occurred in 3.1% of ureters by 3 months postoperatively. No cases of anastomotic leak or later obstruction occurred. Four episodes of acute pyelonephritis occurred in the early postoperative period.
  
  
  CONCLUSIONS
  The split-cuff nipple ureteral reimplant technique in urinary diversion continues to provide excellent results with low rates of reflux or obstruction. The 2 described minor technical modifications further simplify the procedure.
authors.affiliation: University of Texas, Southwestern Medical Center, Dallas, USA.
authors.forename: A I
authors.initials: AI
authors.lastname: Sagalowsky
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D014513:Ureter / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*