{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:02:37Z","timestamp":1780470157859,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T00:00:00Z","timestamp":1713657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Aim of the study<\/jats:title><jats:p>The aim of our study is to evaluate the difference in stricture rate between matched groups of Bricker and Wallace techniques for ureteroileal anastomosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>A retrospective analysis of patients undergoing urinary diversion (UD) with Bricker and Wallace ureteroileal anastomosis at two university hospitals. Two groups of Bricker and Wallace patients were matched in a 1:1 ratio based on the age, sex, body mass index (BMI), Charlson comorbidity index (CCI), preoperative hydronephrosis, prior radiation therapy or abdominal surgery, pathologic T and N stages and 30\u2010days\u2010Clavien grade complications\u2265III. A multivariable Cox regression analysis was conducted to identify predictors of ureteroenteric stricture (UES) in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 740 patients met the inclusion criteria and 209 patients in each group were propensity matched. At a similar median follow\u2010up of 25\u2009months, UES was detected in 25 (12%) and 30 (14.4%) patients in Bricker and Wallace groups, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.56). However, only one patient in the Bricker group developed a bilateral stricture compared to 15 patients in the Wallace group, resulting in a significantly higher number of affected renal units in the Wallace group: 45 (10.7%) versus only 26 (6.2%) in the Bricker group (<jats:italic>p<\/jats:italic>\u2009=\u20090.00). On multivariable extended Cox analysis, prior radiotherapy, presence of T4 pelvic malignancy and nodal positive disease were independent predictor of UES formation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The technique of ureteroileal anastomosis itself does not increase the rate of stricture; however, conversion of two renal units into one is associated with a higher incidence of bilateral upper tract involvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.15471","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T06:13:35Z","timestamp":1713766415000},"page":"813-818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Bricker versus Wallace ureteroileal anastomosis: A multi\u2010institutional propensity <scp>score\u2010matched<\/scp> analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Mulham","family":"Al\u2010Nader","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0274-7445","authenticated-orcid":false,"given":"Ulrich","family":"Krafft","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Kesch","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9941-0784","authenticated-orcid":false,"given":"Mostafa","family":"AbdelRazek","sequence":"additional","affiliation":[{"name":"Department of Urology, Qena Faculty of Medicine South Valley University  Qena Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Abolyosr","sequence":"additional","affiliation":[{"name":"Department of Urology, Qena Faculty of Medicine South Valley University  Qena Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamal A.","family":"Alsagheer","sequence":"additional","affiliation":[{"name":"Department of Urology, Qena Faculty of Medicine South Valley University  Qena Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Urology, Qena Faculty of Medicine South Valley University  Qena 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