Therapeutic ureteral occlusion with Ifabond cyanoacrylate glue: an interesting solution.

Autor: Oderda, Marco, Lacquaniti, Sergio, Fraire, Flavio, Antolini, Jacopo, Camilli, Marco, Mandras, Roberto, Puccetti, Luca, Varvello, Francesco, Fasolis, Giuseppe
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Zdroj: Urologia Journal; Jul-Sep2017, Vol. 84 Issue 3, p203-205, 3p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index