title: [Urinary diversion through isolated bowel segments (author's transl)].
abstract: 80 cases of urinary diversions by means of an ileal or colon conduit are reported. Indications and the operative technique with several variations especially of the bowel-ureter-anastomosis are described. The significance of intestino-uretero-renal reflux and the role of urinary infection in different compartements of the isolated segment are discussed: if the stoma is large enough no reflux can be observed; in the majority of cases infection is limited to the distal part of the segment. Urinary diversion by isolated bowel segments seems to be a safe procedure especially for the protection of the upper urinary tract, preferable to diversion into the non-isolated colon.
mesh_terms: D001746:Bladder Exstrophy / Q000601:surgery; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D010212:Papilloma / Q000601:surgery; D014513:Ureter / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014846:Vulvar Neoplasms / Q000601:surgery
vernacular_title: Die Harnableitung über ausgeschaltete Darmschlingen