[Uretero-intestinal XXXX . Our experience. The simpler... the better].

@entity1 @entity850 @entity254 @entity4628
INTRODUCTION: There are many techniques describe for ureteroenteric anastomoses. We present our experience with three of them inorder to reduce the @entity850 rate. METHOD AND MATERIAL: We have done radical cystectomy in 77 @entity1 . Urinary diversion with small bowel in 20 @entity1 ( @entity4628 ) and dstubulized ureterosigmoidostomy (MainzII) in 55. Initially, we used Le Duc technique, afterward Ricard technique and actually bivalva technique (direct). RESULTS: We have performed Le Duc in 38%, Ricard in 31% and "bivalva" in 27%. Median follow-up are 37.7 months, 19.9 months and 10 months respectively. @entity850 : 16.7% with Le Duc; 20.5% with Ricard and 9.1% with bivalva technique. Renal anulation: 10.4% with Le Duc; 10.3% with Ricard and 0% with bivalva (p .000). CONCLUSIONS: In our experience, the less stenosant anastomose is BivalvaIn one. The simpliest technique, the best results. The rate of @entity850 is higher when the upper urinary tract is dilatated pre-surgery, independently of the @entity254 technique.
