Tsuboi Ichiro, Yokoyama Shuhei, Nakajima Hirochika, Yosioka Saori, Kobayashi Yusuke, Nagami Taichi, Ogawa Kohei, Wada Koichiro
Department of Urology Shimane University Faculty of Medicine Shimane Japan.
IJU Case Rep. 2023 Feb 3;6(2):154-156. doi: 10.1002/iju5.12577. eCollection 2023 Mar.
Obstruction of a ureteroileal anastomosis after urinary diversion is an unpleasant situation for patients and clinicians alike.
A 48-year-old man who underwent a radical cystectomy for muscle-invasive bladder cancer and urinary diversion using the Wallace technique complained of right back pain. Computed tomography showed right hydronephrosis. Cystoscopy via the ileal conduit revealed complete obstruction of the ureteroileal anastomosis. We performed a bilateral approach (antegrade and retrograde) to use the cut-to-the-light technique. A guidewire and 7Fr single J catheter could be inserted.
The cut-to-the-light technique was useful for complete obstruction of the ureteroileal anastomosis, the length of which was <1 cm. Herein, we report on the cut-to-the-light technique with a literature review.
尿流改道后输尿管回肠吻合口梗阻对患者和临床医生来说都是令人不快的情况。
一名48岁男性因肌层浸润性膀胱癌接受根治性膀胱切除术并采用华莱士技术进行尿流改道，他主诉右背部疼痛。计算机断层扫描显示右肾积水。经回肠造口进行膀胱镜检查发现输尿管回肠吻合口完全梗阻。我们采用双侧入路（顺行和逆行）使用透光技术。可插入导丝和7Fr单J导管。
透光技术对于长度<1厘米的输尿管回肠吻合口完全梗阻是有用的。在此，我们报告透光技术并进行文献综述。
