[Treatment of stenosis in uretero-intestinal anastomosis].
We report our experience in the treatment of uretero-enteric anastomotic strictures. Our incidence in this complication is 3.8% in orthotopic bladder substitution and 8.3% in ileal conduict.


METHODS
We have treated this complication in 6 patients with orthotopic bladder substitution and 4 with ileal conduict. We tried to perform a dilatation with a high pressure balloon and to place a Double-J catheter.


RESULTS
In 4 cases we could not introduce the guidewire through the stricture because there was a total stop. In the others 6 cases, one is doing well without Double-J, another one did not tolerate the catheter and we performed an open surgical reanastomosis, 2 kept the catheters until their death due to metastases and the other two continue alive with their catheter periodically replaced.


CONCLUSIONS
The direct uretero-enteric anastomoses present less stenoses risk. Endourological techniques should be the first option in treatment of these patients.
Estébanez Zarranz
M J
MJ
Servicio de Urología, Hospital Universitario del Río Hortega, Valladolid.
Amón Sesmero
J
J
Conde Redondo
C
C
Rodríguez Toves
A
A
Alonso Fernández
D
D
Camacho Parejo
J
J
Martínez-Sagarra Oceja
J M
JM
D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D015994:Incidence; D007422:Intestines / Q000601:surgery; D008297:Male; D014547:Urinary Diversion / Q000009:adverse effects*
Tratamiento de las estenosis en las anastomosis uretero-intestinales.