[Uretero-intestinal anastomosis using the ureteral nipple technique with personal modification in continent urinary diversion].
BACKGROUND
This report presents the follow-up data for the incidence of stenosis and reflux in 143 split cuff nipple ureteral intestinal anastomoses in continent urinary diversions.


METHODS
74 ureteral implants (1990-1995) were performed using the original technique, whereas a technical modification was adopted after 1996. This was used in 69 implants and consisted of the removal of a button of bowel tract in order to obtain a linear implant to the reservoir, instead of using a simple enterotomy at the level of the anastomosis.


RESULTS
The rate of clinically significant refluxes was 2.2%, whereas the incidence of stenosis fell from 6.8% in the group using the original technique to 2.9% in those using the modified technique.


CONCLUSIONS
Anastomosis using the split cuff ureteral nipple technique is simple to perform and is indicated in peristaltic and non-dilatated ureters. Moreover, this technical modification improves the overall results.
Marino
G
G
Unità Operativa di Urologia, Ospedale Mauriziano Umberto I, Largo Turati, 62-10128 Torino.
Cevoli
R
R
Laudi
M
M
D000714:Anastomosis, Surgical / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent