Early Results with Split-Cuff Nipple Ureteral Reimplants in Urinary Diversion

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Purpose: A split-cuff nipple technique was developed for ureteral reimplantation in urinary diversion. Materials and Methods: Ureteroenteric anastomosis was performed with a uniform split-cuff nipple technique in 46 ureters of 24 adult patients undergoing various forms of conduit or continent urinary diversion. The outcome of 42 reimplants in 22 patients (mean followup 22.5 months, minimum 10) was analyzed. The technique is described in detail. Results: Reflux was prevented in 97.6 percent and 95 percent of cases at initial and 2-year followup, respectively. Neither anastomotic leakage nor obstruction occurred. There were 2 episodes of pyelonephritis in the early postoperative period. Results are compared with those in the literature of ureteroenteric anastomoses in general and of various split-cuff nipple techniques. Conclusions: The technique is easy to perform. Favorable early results warrant continued use of the procedure. Long-term followup in a larger number of patients is indicated.

Original languageEnglish (US)
Pages (from-to)2028-2031
Number of pages4
JournalThe Journal of urology
Volume154
Issue number6
DOIs
StatePublished - 1995

Fingerprint

Urinary Diversion
Nipples
Anastomotic Leak
Replantation
Pyelonephritis
Ureter
Postoperative Period

ASJC Scopus subject areas

  • Urology

Cite this

Early Results with Split-Cuff Nipple Ureteral Reimplants in Urinary Diversion. / Sagalowsky, Arthur I.

In: The Journal of urology, Vol. 154, No. 6, 1995, p. 2028-2031.

Research output: Contribution to journalArticle

@article{58558f37567844d88aeda6a809c0c341,
title = "Early Results with Split-Cuff Nipple Ureteral Reimplants in Urinary Diversion",
abstract = "Purpose: A split-cuff nipple technique was developed for ureteral reimplantation in urinary diversion. Materials and Methods: Ureteroenteric anastomosis was performed with a uniform split-cuff nipple technique in 46 ureters of 24 adult patients undergoing various forms of conduit or continent urinary diversion. The outcome of 42 reimplants in 22 patients (mean followup 22.5 months, minimum 10) was analyzed. The technique is described in detail. Results: Reflux was prevented in 97.6 percent and 95 percent of cases at initial and 2-year followup, respectively. Neither anastomotic leakage nor obstruction occurred. There were 2 episodes of pyelonephritis in the early postoperative period. Results are compared with those in the literature of ureteroenteric anastomoses in general and of various split-cuff nipple techniques. Conclusions: The technique is easy to perform. Favorable early results warrant continued use of the procedure. Long-term followup in a larger number of patients is indicated.",
author = "Sagalowsky, {Arthur I}",
year = "1995",
doi = "10.1016/S0022-5347(01)66682-5",
language = "English (US)",
volume = "154",
pages = "2028--2031",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Early Results with Split-Cuff Nipple Ureteral Reimplants in Urinary Diversion

AU - Sagalowsky, Arthur I

PY - 1995

Y1 - 1995

N2 - Purpose: A split-cuff nipple technique was developed for ureteral reimplantation in urinary diversion. Materials and Methods: Ureteroenteric anastomosis was performed with a uniform split-cuff nipple technique in 46 ureters of 24 adult patients undergoing various forms of conduit or continent urinary diversion. The outcome of 42 reimplants in 22 patients (mean followup 22.5 months, minimum 10) was analyzed. The technique is described in detail. Results: Reflux was prevented in 97.6 percent and 95 percent of cases at initial and 2-year followup, respectively. Neither anastomotic leakage nor obstruction occurred. There were 2 episodes of pyelonephritis in the early postoperative period. Results are compared with those in the literature of ureteroenteric anastomoses in general and of various split-cuff nipple techniques. Conclusions: The technique is easy to perform. Favorable early results warrant continued use of the procedure. Long-term followup in a larger number of patients is indicated.

AB - Purpose: A split-cuff nipple technique was developed for ureteral reimplantation in urinary diversion. Materials and Methods: Ureteroenteric anastomosis was performed with a uniform split-cuff nipple technique in 46 ureters of 24 adult patients undergoing various forms of conduit or continent urinary diversion. The outcome of 42 reimplants in 22 patients (mean followup 22.5 months, minimum 10) was analyzed. The technique is described in detail. Results: Reflux was prevented in 97.6 percent and 95 percent of cases at initial and 2-year followup, respectively. Neither anastomotic leakage nor obstruction occurred. There were 2 episodes of pyelonephritis in the early postoperative period. Results are compared with those in the literature of ureteroenteric anastomoses in general and of various split-cuff nipple techniques. Conclusions: The technique is easy to perform. Favorable early results warrant continued use of the procedure. Long-term followup in a larger number of patients is indicated.

UR - http://www.scopus.com/inward/record.url?scp=0028838211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028838211&partnerID=8YFLogxK

U2 - 10.1016/S0022-5347(01)66682-5

DO - 10.1016/S0022-5347(01)66682-5

M3 - Article

C2 - 7500450

AN - SCOPUS:0028838211

VL - 154

SP - 2028

EP - 2031

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 6

ER -