title: [Urinary diversions: our experience and selection approach].
abstract: Retrospective review of 126 urinary by-passes performed in our service over the last 15 years where efficacy and complications arisen from the ureteroileal by-passes, ureterosigmoidostomy and skin ureterostomy are analyzed. Patients were found to be pre-operatively homogeneous with no statistically significant differences with regard to age, renal function or previous radiotherapy, except in the case of ureterostomies which are always initiated from a poorer renal function and general condition. It was concluded that there was no difference between the various Bricker types according to the anastomosis, which allows joint a comparison with other groups. After three months, Bricker's showed better radiologic evolution than Goodwin's (p less than 0.08) and a statistically lower number of complication (p less than 0.05) therefore establishing they should be the choice procedure versus any other type of by-pass. Literature review with regard to results and conditions of container reservoirs and vesical substitutions, evaluating their contraindications within the neoplastic scope and/or psychosocial range, as well as comparing the reflux, stenosis and infection rates with our series, make the ureteroileal by-pass a technique entirely legitimate at present.
authors.affiliation: Hospital Príncipes de España, L'Hospitalet, Barcelona.
authors.forename: J
authors.initials: J
authors.lastname: Armora Mani
authors.forename: J
authors.initials: J
authors.lastname: Muñoz Segui
authors.forename: F
authors.initials: F
authors.lastname: Aguiló Lucia
authors.forename: E
authors.initials: E
authors.lastname: Franco Miranda
authors.forename: M
authors.initials: M
authors.lastname: Pérez Céspedes
authors.forename: M A
authors.initials: MA
authors.lastname: López Costea
authors.forename: N
authors.initials: N
authors.lastname: Serrallach Mila
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D012809:Colon, Sigmoid / Q000601:surgery; D000075202:Contraindications; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D014519:Ureterostomy; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods* / Q000523:psychology
vernacular_title: Derivaciones urinarias: nuestra experiencia y actitud de selección.