Letter to the Editor


Response to editorial comment “A retrosigmoid ileal conduit might prevent ureteroileal anastomotic stricture after ileal conduit diversion”

Gianluca Giannarini, Alessandro Crestani, Vincenzo Ficarra

Abstract

We thank the authors for their interest in our recent article describing the surgical technique and early functional results of a retrosigmoid ileal conduit diversion after radical cystectomy (RC) (1). In a single-centre single-surgeon comparative study with a short-term follow-up, we observed a significantly reduced rate of ureteroileal anastomotic stricture (UAS) and no increase in intra- or postoperative complications with the retrosigmoid versus traditional Wallace ileal conduit. In details, no cases of UAS were detected in 30 patients who had received a retrosigmoid ileal conduit with a direct end-to-side ureteroileal anastomosis after a mean follow-up time of 10.8 months.

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