This Article Abstract Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Thiruchelvam, N Articles by Page, A C Search for Related Content PubMed PubMed Citation Articles by Thiruchelvam, N Articles by Page, A C

The double wire technique: an improved method for treating challenging ureteroileal anastomotic strictures and occlusions

Departments of ¹ Urology and ² Radiology, Royal Hampshire County Hospital, Winchester, Hampshire, UK

View larger version (21K): [in this window] [in a new window]   Figure 1. Schematic diagram of procedure.(a) Stenotic ureteroileal anastomosis, (b) guidewire insertion into patent anastomosis, (c) guidewire insertion into stenotic anastomosis and (d) balloon dilatation of UIAS. H, hydronephrotic kidney; K, normal kidney; S, stenotic ureteroileal anastomosis; P, patent ureteroileal anastomosis; I, ileal conduit; C6, 6F MPA catheter; Y, guidewire through P; C8, 8F MPA catheter; Z, guidewire through S; BD, balloon dilating catheter.

View larger version (132K): [in this window] [in a new window]   Figure 2. Retrograde loopogram demonstrating critical stenosis of the right ureteroileal anastomosis.

View larger version (78K): [in this window] [in a new window]   Figure 3. A guidewire has been inserted into the patent left anastomosis(arrow). This stabilises equipment position to allow crossing of the critical right anastomotic stricture.

View larger version (83K): [in this window] [in a new window]   Figure 4. Balloon dilatation(6 mm diameter) of the right anastomosis.

View larger version (59K): [in this window] [in a new window]   Figure 5. Completion image following J-J stent placement to right anastomosis.