Management of a persistent ileo-ureteric anastomotic leak with bilateral ureteric occlusion using angioplasty balloon catheters.
The ileal conduit continues to be the most common form of urinary diversion performed worldwide. As a result of improved surgical technique the perioperative mortality and morbidity for patients undergoing ileal conduit urinary diversion has reduced remarkably. However, one early complication that may occur is that of urinary leak at the ileo-ureteric anastomosis. Urinary anastomotic leaks may be associated with significant morbidity and mortality. Although a small initial leakage postoperatively is common, the problem arises in cases of continued urinary leakage from the ileo-ureteric anastomosis. We report the management of a persistent ileo-ureteric anastomotic leak using angioplasty balloons catheters to occlude both ureters.
Department of Urology, St. James's Hospital, Dublin, Ireland.
James C
JC
Forde
Kevin M
KM
O'Connor
Deirdre M
DM
Fanning
Michael J
MJ
Guiney
Thomas H
TH
Lynch
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D057868:Anastomotic Leak / Q000601:surgery*; D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods*; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy / Q000009:adverse effects; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects; D014513:Ureter / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects