ACUCISE INCISION OF URETEROENTERIC STRICTURES AFTER URINARY-DIVERSION

Four ureteroenteric strictures in three men were incised using the Acu ciseTM catheter, All patients had undergone urinary diversion after ra dical cystectomy, One patient had a solitary kidney, and one patient h ad bilateral ureteroenteric strictures. Two patients were morbidly obe se. One stricture involved the right ureter, and the left ureteral ana stomosis was strictured in all three cases, After careful radiographic and endoscopic assessment of local periureteral anatomy, Acucise inci sion was performed successfully for all four strictures without compli cations, All incised ureteroenteric anastomoses have remained patent t hrough postoperative follow-ups of 11, 27, and 28 months, as judged by retrograde loopograms and diuretic renograms, Acucise incision of ure teroenteric strictures after urinary diversion provides an efficient a nd effective endourologic management option in these difficult cases, Emphasizing the need for careful preincision anatomic evaluation, this technologic approach can be employed even in the management of left u reteroenteric strictures.