ArticleLangenbeck's archives of surgery2022
Comparative analysis of Bricker versus Wallace ureteroenteric anastomosis and identification of predictors for postoperative ureteroenteric stricture.
Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- New Evidence on an Old Question: a Meta-Analysis of Wallace versus Bricker Anastomoses.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Unusual course of a Bricker ileal conduit: stenosis from kinking and delayed bowel obstruction.International journal of surgery case reports · 2026Article
- Urinary Diversion-Specific Morbidity After Radical Cystectomy: A Ten-Year Institutional Experience.Cancer medicine · 2026Article
- Comparison of perioperative outcomes between Bricker and Wallace anastomosis techniques in robotic-assisted radical cystectomy with intracorporeal diversion.World journal of urology · 2025Article
- Article
- Urothelial carcinoma metastasis to the appendix as the first manifestation of dissemination after radical cystectomy: A case report.Oncology letters · 2025Article
- Sequential dilatation of two balloons and double D-J stents for therapy of ureteroenteral anastomotic stricture in patients following radical cystectomy and Bricker urinary diversion.African health sciences · 2025Article
- Comparative analysis of ureteroileal anastomotic stricture rates: Bricker versus Wallace techniques in ileal conduit urinary diversion-a single-surgeon study with BMI-matched design and long-term follow-up excluding cancer recurrence bias.Frontiers in oncology · 2025Article
- Post-Operative Urinary Tract Infections After Radical Cystectomy: Incidence, Pathogens, and Risk Factors.Journal of clinical medicine · 2024Article
- Risk factors for ureteroenteric stricture after radical cystectomy and urinary diversion: A systematic review.Arab journal of urology · 2024Review
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Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUreteroenteric anastomosis after cystectomy is usually performed using the Bricker or Wallace technique. Deterioration of renal function is the most common long-term complication of urinary diversion (UD). To improve surgical care and optimize long-term renal function, we compared the Bricker and Wallace anastomotic techniques and identified risk factors for ureteroenteric strictures (UES) in patients after cystectomy. MATERIAL AND
methodsRetrospective, monocentric analysis of 135 patients who underwent cystectomy with urinary diversion at the University Hospital Essen between January 2015 and June 2019. Pre- and postoperative renal function, relevant comorbidities, prior chemo- or radiotherapy, pathological findings, urinary diversion, postoperative complications, and ureteroenteric strictures (UES) were analyzed.
resultsOf all 135 patients, 69 (51.1%) underwent Bricker anastomosis and 66 (48.9%) Wallace anastomosis. Bricker and Wallace groups included 134 and 132 renal units, respectively. At a median follow-up of 14 (6-58) months, 21 (15.5%) patients and 30 (11.27%) renal units developed UES. We observed 22 (16.6%) affected renal units in Wallace versus 8 (5.9%) in Bricker group (p < 0.001). A bilateral stricture was most common in Wallace group (69.2%) (p < 0.001). Previous chemotherapy and 90-day Clavien-Dindo grade ≥ III complications were independently associated with stricture formation, respectively (OR 9.74, 95% CI 2-46.2, p = 0.004; OR 4.01, 95% CI 1.36-11.82, p = 0.013).
conclusionThe results of this study show no significant difference in ureteroenteric anastomotic techniques with respect to UES development regarding individual patients but suggest a higher risk of bilateral UES formation in patients undergoing Wallace anastomosis. This is reflected in the increased UES rate under consideration of the individual renal units.
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