Vesicorectostomy revisited.
Between 1948 and 1959 vesicorectostomy, a permanent anastomosis between the bladder and rectum, was constructed in 7 male patients. Scattered reports of this procedure exist but none since 1959 and long-term followup has never been reported. we present long-term followup, including renal function, excretory urography and voiding cystorectography, and review the quality of life in the 7 patients. The most frequent complication was stenosis of the anastomosis. None of the patients in this series with normal preoperative upper tracts showed radiographic or chemical deterioration postoperatively. Since this procedure maintains urinary continence, does not disturb the normal physiology of the ureterovesical junction and minimizes urinary reabsorption its use should be considered in certain patients as an alternative method of urinary diversion.
D000293:Adolescent; D000328:Adult; D000368:Aged; D004842:Epispadias / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012007:Rectum / Q000000981:diagnostic imaging / Q000601:surgery; D014513:Ureter / Q000000981:diagnostic imaging; D014522:Urethral Diseases / Q000601:surgery; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000601:surgery; D014547:Urinary Diversion