title: [Treatment of stenosis in uretero-intestinal anastomosis].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Universitario del Río Hortega, Valladolid.
authors.forename: M J
authors.initials: MJ
authors.lastname: Estébanez Zarranz
authors.forename: J
authors.initials: J
authors.lastname: Amón Sesmero
authors.forename: C
authors.initials: C
authors.lastname: Conde Redondo
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Toves
authors.forename: D
authors.initials: D
authors.lastname: Alonso Fernández
authors.forename: J
authors.initials: J
authors.lastname: Camacho Parejo
authors.forename: J M
authors.initials: JM
authors.lastname: Martínez-Sagarra Oceja
mesh_terms: 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*
vernacular_title: Tratamiento de las estenosis en las anastomosis uretero-intestinales.