{"title":"[A Case of Cut-to-the-light Incision for Ureteroileal Anastomotic Obstruction after Robot-Assisted Radical Cystectomy and Ileal Conduit].","authors":"Ryunosuke Murofushi, Daiki Ikarashi, Yasushi Nozaki, Moe Toyoshima, Ei Shiomi, Tomohiko Matsuura, Shigekatsu Maekawa, Renpei Kato, Mitsugu Kanehira, Jun Sugimura, Wataru Obara","doi":"10.14989/ActaUrolJap_71_5_155","DOIUrl":null,"url":null,"abstract":"<p><p>A 68-year-old man with muscle invasive bladder cancer underwent robot-assisted radical cystectomy and ileal conduit for urinary diversion using the Wallace procedure. Two months after surgery, the patient developed recurrent urinary tract infections, and computed tomography showed left hydronephrosis. Nephrostography revealed a left ureteroileal anastomotic obstruction. Ho-YAG laser-assisted incision and transureter dilatation were performed 6 months after surgery. Nephrostography performed 1 month after dilatation confirmed improvement of the obstructed area and no symptom recurrence.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"71 5","pages":"155-158"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Urologica Japonica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14989/ActaUrolJap_71_5_155","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A 68-year-old man with muscle invasive bladder cancer underwent robot-assisted radical cystectomy and ileal conduit for urinary diversion using the Wallace procedure. Two months after surgery, the patient developed recurrent urinary tract infections, and computed tomography showed left hydronephrosis. Nephrostography revealed a left ureteroileal anastomotic obstruction. Ho-YAG laser-assisted incision and transureter dilatation were performed 6 months after surgery. Nephrostography performed 1 month after dilatation confirmed improvement of the obstructed area and no symptom recurrence.
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