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Management of a persistent ileo-ureteric anastomotic leak with bilateral ureteric occlusion using angioplasty balloon catheters

James C. Forde¹, Kevin M. O’Connor¹, Deirdre M. Fanning¹, Michael J. Guiney², Thomas H. Lynch¹

1 Department of Urology, St. James’s Hospital, Dublin, Ireland
2 Department of Radiology, St. James’s Hospital, Dublin , Ireland
Address correspondence to Dr. James C. Forde, Department of Urology, St. James’s Hospital, Dublin 8, Ireland

Canadian Journal of Urology 2010, 17(5), 5397-5400.

Abstract

The ileal conduit continues to be the most common form of urinary diversion performed worldwide. As a result of improved surgical technique the perioperative mortality and morbidity for patients undergoing ileal conduit urinary diversion has reduced remarkably. However, one early complication that may occur is that of urinary leak at the ileo-ureteric anastomosis. Urinary anastomotic leaks may be associated with signifi cant morbidity and mortality. Although a small initial leakage postoperatively is common, the problem arises in cases of continued urinary leakage from the ileo-ureteric anastomosis. We report the management of a persistent ileo-ureteric anastomotic leak using angioplasty balloons catheters to occlude both ureters.

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