Use of SPY Fluorescent Angiography to Reduce Ureteroenteric Stricture Rate Following Urinary Diversion

Launched by UNIVERSITY OF VIRGINIA · Aug 23, 2021

Keywords

ClinConnect Summary

This study is testing whether using SPY fluorescent angiography (a dye and special camera that helps doctors see blood flow) during open urinary diversion can reduce a common problem called ureteroenteric stricture—narrowing where the ureter connects to the urinary diversion. The researchers compare patients who have this SPY imaging during surgery with past patients who had the same surgery without SPY. The main goal is to see if the rate of these strictures by about 1.5 years after surgery is lower, and they also track whether people need to be readmitted within 90 days, or develop hydronephrosis, kidney infection, or other kidney problems in that first 90 days. No results are reported yet.

Who can join: adults 18 and older who are planning an open urinary diversion (not robotic) and can give informed consent. Pregnant women are excluded. If eligible, you would have SPY imaging during your surgery as part of the procedure, and then follow standard post-surgery care. The study is at the University of Virginia and is not randomized; it compares current patients to historic controls. Enrollment is focused on about 50 participants in the SPY group, with results not yet available.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Undergoing open urinary diversion
• Exclusion Criteria:
• • Inability to provide informed consent
• • Robotic-assisted urinary diversion
• • Pregnant Women