{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:51:36Z","timestamp":1791589896290,"version":"4.3.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      Benign ureteroenteric anastomotic strictures (UES) are a common late complication after urinary diversion following radical cystectomy. While open revision is considered definitive, endoscopic approaches are increasingly used because of lower invasiveness. This study compares outcomes of open\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      endoscopic and laser\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      nonlaser endoscopic techniques for benign UES.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant search of PubMed, EMBASE, and Scopus was conducted from inception through November 2024 and updated in October 2025. Studies including adults with benign UES after urinary diversion undergoing first-time open, robotic, laparoscopic, or endoscopic intervention were eligible. Definitions of treatment success varied among included studies and generally reflected radiographic patency, symptom resolution, or avoidance of further intervention. Random-effects meta-analyses using generalized linear mixed models pooled success and complication rates. Comparative analyses were limited to double-arm cohorts. Endoscopic techniques were stratified as laser-based or nonlaser, with subgroup analysis by stricture length.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 31 studies (858 patients) met the inclusion criteria, including seven comparative cohorts (368 renal units). Open reconstruction demonstrated higher primary patency than endoscopic management (risk ratio [RR] 2.31, 95% confidence interval [CI]: 1.54\u20133.47, ARD: 53.16%, 95% CI: 44.57\u201361.74). Major complication rates were similar (RR 1.40, 95% CI: 0.49\u20134.01, ARD: 0.95, 95% CI:\u22125.30 to 7.20), while minor complications were more frequent after open revision (RR 2.56, 95% CI: 1.45\u20134.51, ARD:10.31, 95% CI: 3.23\u201317.39). Among endoscopic series, pooled success was 58% for both laser and nonlaser techniques, with low complication rates overall. Laser techniques showed greater success for strictures &lt;1 cm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Open revision appears to provide higher primary patency, although with greater minor morbidity. Endoscopic management offers a less invasive alternative with moderate success, and laser techniques may benefit selected patients with short strictures. These findings should be interpreted cautiously because of substantial heterogeneity across studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261472745","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T10:25:03Z","timestamp":1786011903000},"page":"1254-1264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Open\n                    <i>vs<\/i>\n                    Endoscopic Management of Benign Ureteroenteric Anastomotic Strictures: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"40","author":[{"given":"Pritish","family":"Kendrekar","sequence":"first","affiliation":[{"name":"Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ansh","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of 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Miller School of Medicine, Miami, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Marcovich","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gonzalgo","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipen J.","family":"Parekh","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4273-5502","authenticated-orcid":false,"given":"Hemendra N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Desai Sethi 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