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Role of routine stentograms following urinary diversion in modern practice
Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA
Jun 2009 (Vol. 16, Issue 3, Pages( 4660 - 4663)
PMID: 19497174

Abstract

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  • Objective: To examine the usefulness of routine stentograms in patient management following urinary diversion. Materials and methods: A retrospective review of all patients undergoing urinary diversion from February 2004 to February 2007 was performed. Three hundred twenty-six patients were identified. One hundred fifty patients were excluded: 101 patients had no stentogram and 49 patients had incomplete records or follow up. Results: Of the 176 patients, ureteral anastamosic leak was detected in three of 344 ureters (0.9%). The ureteral stents were left in situ until the leaks resolved. None of the three developed a ureteral stricture. Ten (3.0%) ureters had delayed drainage and the stents were removed as scheduled. One patient developed hydronephrosis from a retained portion of the ureteral stent. The 328 ureters (95.4%) with normal stentograms were followed for 30 weeks (3-144). Four ureters (1.25%) developed distal ureteral strictures and one patient developed a ureteral tumor recurrence. No patient developed a poststentogram complication. Conclusions: The incidence of a ureteral enteric anastamotic leak detected by stentogram is less than 1%-2%. Routine stentograms do not appear necessary in stable patients without clinical signs of a urine leak and thus are now only seldom performed at our institution.

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