Therapeutic ureteral occlusion with Ifabond cyanoacrylate glue: an interesting solution

Urologia. 2017 Aug 1;84(3):203-205. doi: 10.5301/uro.5000217. Epub 2017 Feb 22.

Abstract

Objective: The aim of this study was to present a novel approach for complete and permanent ureteral occlusion using a percutaneous injection of Ifabond cyanoacrylate glue.

Methods: We describe in detail all the steps of our surgery, performed on a 79-year-old patient with urinary leakage from ureteral stump following radical cystectomy. N-hexyl-cyanoacrylate glue (Ifabond) was used to occlude the distal ureter and solve the leakage.

Results: Our approach was successful, sparing our already frail patient further surgical procedures. Six months pyelography confirmed the complete ureteral blockage with absence of extravasation.

Conclusions: In complicated scenarios with urinary leakages and frail patients, synthetic glues such as Ifabond might represent an interesting therapeutic option to solve the fistulas, leading to durable success with a minimally invasive approach.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cyanoacrylates*
  • Humans
  • Male
  • Tissue Adhesives*
  • Ureteral Diseases / therapy*
  • Urinary Fistula / therapy*

Substances

  • Cyanoacrylates
  • Ifabond
  • Tissue Adhesives