Original Paper

Use of External Ureteral Catheters and Internal Double J Stents in a Modified Ileal Neobladder for Continent Diversion: A Comparative Analysis
Ioannis M. Varkarakis, Athanasios Delis, Athanasios Papatsoris, Charalambos Deliveliotis

2nd Department of Urology, Sismanoglio Hospital, University of Athens, Athens, Greece

Address of Corresponding Author

Urol Int 2005;75:139-143 (DOI: 10.1159/000087168)

  Key Words

• Bladder cancer
• Urinary diversion
• Ureteroileal anastomosis
• External ureteral catheters
• Internal double J stents
• Modified ileal neobladder

  Abstract

Introduction: Open-ended straight ureteral stents are typically used for the support of the ureteroileal anastomosis during the creation of an orthotopic 'S-pouch' ileal neobladder. The use of double J stents as an alternative in this setting is evaluated. Materials and Methods: Medical charts from 43 patients undergoing radical cystectomy with formation of an ileal 'S-pouch' neobladder were retrospectively evaluated. In 30 patients (group A), a 6-Fr open-ended straight ureteral catheter was used to stent the ureteroileal anastomosis, while a double J stent was used for the same reason in 13 patients (group B). The ureteral catheter was removed 15 days after the procedure while the double J stent 3 weeks postoperatively. Hospital stay, early and late complications were evaluated for both groups during a mean follow-up period of 22.5 and 19.6 months respectively. Results: Stricture of the ureteroileal anastomosis was observed in 2 (6.6%) and 1 (7.6%) patient of groups A and B respectively. All complications presented with similar rates, except for an increased but not statistically significant incidence of urethrovesical anastomotic leakage and early urinary tract infections in group B. Hospital stay was significantly (p < 0.005) shorter for patients of group B (9.9 vs. 15.2 days). Conclusions: The use of double J stents to support the ureteroileal anastomosis can be used as an alternative to open-ended ureteral stents. With double J stents a shorter hospital stay was achieved with similar complication rates but a higher incidence of upper urinary tract infections.

Copyright © 2005 S. Karger AG, Basel

  Author Contacts

Charalambos Deliveliotis, Assoc. Prof.
Monis Petraki 4, PO 11521
Kolonaki/Athens (Greece)
Tel. +30 6932 274744 or +30 210 7215448
Fax +30 210 7215448, E-Mail nikistra@hol.gr

  Article Information

Received: December 1, 2004
Accepted after revision: April 20, 2005
Published online: July 09, 2008
Number of Print Pages : 5
Number of Figures : 0, Number of Tables : 2, Number of References : 15