OJU  Vol.1 No.2 , May 2011
Modified Technique for Internal Ureteroileal Stenting in Orthotopic Neobladders
Abstract: We introduce a modified surgical technique for internal ureteroileal stenting to improve cosmesis in patients undergoing ileal neobladder. Internal ureteric stents are secured to the tip of the urethral catheter with nonabsorbable suture facilitating removal of the stents postoperatively 2-3 weeks along with the urethral catheter. This surgical modification was applied to 21 patients of whom no significant surgical or infectious complication due to single urethral catheter was observed. Internal ureteral stenting is simple, safe and inexpensive alternative to conventional methods to support ureteroileal anastomosis in patients undergoing orthotopic bladder substitution.
Cite this paper: nullG. Aslan, "Modified Technique for Internal Ureteroileal Stenting in Orthotopic Neobladders," Open Journal of Urology, Vol. 1 No. 2, 2011, pp. 15-18. doi: 10.4236/oju.2011.12005.

[1]   R. E. Hautmann, B. G. Volkmer, M. C. Schumacher, J. E. Gschwend and U. E. Studer, “Long-Term Results of Standard Procedures in Urology: The Ileal Neobladder,” World Journal of Urology, Vol. 24, No. 3, 2006, pp. 305-314. doi:10.1007/s00345-006-0105-z

[2]   R. Thurairaja, F. C. Burkhard and U. E. Studer, “The Orthotopic Neobladder,” British Journal of Urology International, Vol. 102, 2008, pp. 1307-1313.

[3]   I. M. Varkarakis, A. Delis, A. Papatsoris and C. Deliveliotis, “Use of External Ureteral Catheters and Internal Double J Stents in a Modified Ileal Neobladder for Continent Diversion: A Comparative Analysis,” Urologia Internationalis, Vol. 75, No. 2, 2005, pp. 139-143. doi:10.1159/000087168

[4]   A. Mandhani, A. Dharaskar and R. Kapoor, “Technical Steps of Open Radical Cystectomy and Orthotopic Neobladder to Achieve the Goals of ‘Minimally Invasive Surgery’?” Indian Journal of Urology, Vol. 26, No. 3, 2010, pp. 457-460. doi:10.4103/0970-1591.70596

[5]   J. P. Stein and D. G. Skinner, “Radical Cystectomy,” British Journal of Urology International, Vol. 94, 2004, pp. 197-221.

[6]   U. E. Studer, C. Varol and H. Danuser, “Orthotopic Ileal Neobladder,” British Journal of Urology International, Vol. 93, 2004, pp. 183-193.

[7]   J. P. Stein and D. G. Skinner, “The Orthotopic T-Pouch Ileal Neobladder,” British Journal of Urology International, Vol. 98, 2006, pp. 469-482.

[8]   B. Pearson and S. D. Wexner, “The Management of Postoperative Ileus,” Current Problems in Surgery, Vol. 43, No. 1, 2006, pp. 12-65.

[9]   A. Mattei, F. D. Birkhaeuser, C. Baermann, S. H. Warncke and U. E. Studer, “To Stent or Not to Stent Perioperatively the Ureteroileal Anastomosis of Ileal Orthotopic Bladder Substitutes and Ileal Conduits? Results of a Prospective Randomized Trial,” Journal of Urology, Vol. 179, No. 2, 2008, pp. 582-586. doi:10.1016/j.juro.2007.09.066

[10]   H. M. Abd Alla and A. A. Attia, “Lower Urinary Tract Reconstruction Following Radical Cystectomy Using Ileal Neobladder with Studer Technique; 3 Years Experience,” Journal of the Egyptian National Cancer Institute, Vol. 12, No. 4, 2000, pp. 235-243.

[11]   S. D. Mark and G. D. Webster, “Simplified Urinary Drainage Following Orthotopic or Continent Bladder Replacement,” Journal of Urology, Vol. 153, No. 2, 1995, pp. 334-335. doi:10.1097/00005392-199502000-00010