title: [Placement of dual double-J stents following high-pressure balloon angioplasty for treatment of ureter-ileum bladder anastomosis stricture].
abstract: OBJECTIVE
  To evaluate the benefit of placement of dual double-J stents following high-pressure balloon angioplasty for treatment of ureter-ileum anastomosis stricture after total bladder resection.
  
  
  METHODS
  Seventeen patients (11 males and 6 females, mean age 56.65±6.28 years, 23 sides) undergoing total bladder resection were included in this study. Unilateral and bilateral ureteral stricture occurred postoperatively in 11 and 6 patients, respectively; 13 patients had ureter-ileum bladder anastomosis stricture after ileal bladder substitution, and 4 patients had ureter-ileum stricture after orthotopic construction of ileal neobladder. The control group consisted of 21 patients undergoing open surgery.
  
  
  RESULTS
  In the double-J stenting group, the effective rate was 82.6% (19/23), similar to that of 85.7% (18/21) in the control group (P>0.05). Compared with the control group, the stenting group showed a significantly reduced mean time of operation (87.42±10.35 min vs 34.12±7.52 min, P<0.05), intraoperative blood loss (203.16±32.67 ml vs 21.54±6.15 ml, P<0.05), and mean postoperative hospital stay (10.12±1.19 vs 3.24±0.35 days, P<0.05).
  
  
  CONCLUSIONS
  As a safe and minimally invasive approach to the management of ureter-ileum bladder anastomosis stricture, placement of dual double-J stents following high-pressure balloon angioplasty produces a effect comparable with that of open surgery.
authors.affiliation: Department of Urology, First Affiliated Hospital of General Hospital of PLA, Beijing 100048, China. yqyhldhy@163.com
authors.forename: Hua-liang
authors.initials: HL
authors.lastname: Yu
authors.forename: Lin-yang
authors.initials: LY
authors.lastname: Ye
authors.forename: Mao-hu
authors.initials: MH
authors.lastname: Lin
authors.forename: Yu
authors.initials: Y
authors.lastname: Yang
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects* / Q000379:methods; D000800:Angioplasty, Balloon / Q000379:methods*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D015653:Cystectomy; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015607:Stents; D014513:Ureter / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods