Cut-to-the-light technique is useful for complete obstruction of a Wallace ureteroileal anastomosis

Ichiro Tsuboi; Shuhei Yokoyama; Hirochika Nakajima; Saori Yosioka; Yusuke Kobayashi; Taichi Nagami; Kohei Ogawa; Koichiro Wada

doi:10.1002/iju5.12577

Cut-to-the-light technique is useful for complete obstruction of a Wallace ureteroileal anastomosis

IJU Case Rep. 2023 Feb 3;6(2):154-156. doi: 10.1002/iju5.12577. eCollection 2023 Mar.

Authors

Ichiro Tsuboi¹, Shuhei Yokoyama¹, Hirochika Nakajima¹, Saori Yosioka¹, Yusuke Kobayashi¹, Taichi Nagami¹, Kohei Ogawa¹, Koichiro Wada¹

Affiliation

¹ Department of Urology Shimane University Faculty of Medicine Shimane Japan.

Abstract

Introduction: Obstruction of a ureteroileal anastomosis after urinary diversion is an unpleasant situation for patients and clinicians alike.

Case presentation: A 48-year-old man who underwent a radical cystectomy for muscle-invasive bladder cancer and urinary diversion using the Wallace technique complained of right back pain. Computed tomography showed right hydronephrosis. Cystoscopy via the ileal conduit revealed complete obstruction of the ureteroileal anastomosis. We performed a bilateral approach (antegrade and retrograde) to use the cut-to-the-light technique. A guidewire and 7Fr single J catheter could be inserted.

Conclusion: The cut-to-the-light technique was useful for complete obstruction of the ureteroileal anastomosis, the length of which was <1 cm. Herein, we report on the cut-to-the-light technique with a literature review.

Keywords: Ho:YAG laser; Wallace ureteroileal anastomosis; cut‐to‐the‐light technique.

Publication types

Case Reports