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Urostomy ileal conduit
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Urostomy ileal conduit

I have an urostomy with an ileal conduit. What are the SYMPTOMS of a stricture where the ureters connect to the ileum and how is it diagnosed.What are the consequences if this occurs and what procedure or procedures are used to correct the stricture if it does occur?
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Hello - thanks for asking your question.

The complication rates for ileal conduits are 50-80% over the life of the conduit.  The more common complications include the following: deterioration, metabolic abnormalities, hydronephrosis, loop stenosis, ureteral strictures, stomal problems, calculi, and malignancy.

Flank pain, flank fullness, or abdominal fullness can be presentaions of ureteral strictures.  Persistent urinary tract infection or pyelonephritis may indicate unilateral ureteral obstruction. Patients with preexisting renal insufficiency or an abnormal contralateral kidney may present with an abnormal serum creatinine level. Also, patients with strictures in solitary or functionally solitary kidneys (eg, renal transplant patients) may present with renal failure.

Treatment can include balloon dilatation, endoureterotomy, or open surgical correction.  These options can be discussed with your urologist.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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