title: Therapeutic ureteral occlusion with Ifabond cyanoacrylate glue: an interesting solution.
abstract: OBJECTIVE
  The aim of this study was to present a novel approach for complete and permanent ureteral occlusion using a percutaneous injection of Ifabond cyanoacrylate glue.
  
  
  METHODS
  We describe in detail all the steps of our surgery, performed on a 79-year-old patient with urinary leakage from ureteral stump following radical cystectomy. N-hexyl-cyanoacrylate glue (Ifabond) was used to occlude the distal ureter and solve the leakage.
  
  
  RESULTS
  Our approach was successful, sparing our already frail patient further surgical procedures. Six months pyelography confirmed the complete ureteral blockage with absence of extravasation.
  
  
  CONCLUSIONS
  In complicated scenarios with urinary leakages and frail patients, synthetic glues such as Ifabond might represent an interesting therapeutic option to solve the fistulas, leading to durable success with a minimally invasive approach.
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.|Division of Urology, Department of Surgical Sciences, University of Turin, Turin - Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Oderda
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Lacquaniti
authors.affiliation: Department of Pathology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Flavio
authors.initials: F
authors.lastname: Fraire
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Jacopo
authors.initials: J
authors.lastname: Antolini
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Camilli
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Mandras
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Puccetti
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Varvello
authors.affiliation: Department of Urology, San Lazzaro Hospital, Alba - Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Fasolis
mesh_terms: D000368:Aged; D003487:Cyanoacrylates; D006801:Humans; D008297:Male; D014014:Tissue Adhesives; D014515:Ureteral Diseases / Q000628:therapy*; D014548:Urinary Fistula / Q000628:therapy*
chemical_list: D003487:Cyanoacrylates; C000625829:Ifabond; D014014:Tissue Adhesives