Colonoscopic control of uretero-enteric anastomoses in internal urinary diversion.
Twenty-four patients with internal urinary diversion following total bladder ablation underwent colonoscopic control of the uretero-enteric anastomoses. The techniques performed were: rectal bladder with colostomy according to Mauclaire (11 patients); rectal bladder with abdomino-perineal pull-through according to Heitz-Boyer/Hovelacque (6); ureterosigmoidostomy (7). The uretero-enteric anastomoses were divided into 3 categories according to the colonoscopic appearance: "nipple-like", nearly flat and flat anastomosis. Urographic examinations were carried out in all patients and the results demonstrated that the "nipple-like" anastomosis was the most successful for the preservation of upper urinary tract integrity.
Department of Urology, University La Sapienza, Rome, Italy.
M
M
Gallucci
G
G
Alpi
A
A
Zaccara
G
G
Frieri
G
G
Latella
F
F
Di Silverio
D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy; D004108:Dilatation, Pathologic / Q000175:diagnosis; D006801:Humans; D007674:Kidney Diseases / Q000517:prevention & control; D011183:Postoperative Complications / Q000175:diagnosis*; D012007:Rectum / Q000473:pathology / Q000601:surgery; D014517:Ureteral Obstruction / Q000175:diagnosis; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*