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?
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.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.