[Gastrocystoplasty].
In two female patients with severe radiation cystitis, aged 69 and 62 years, the bladder was augmented by an operationally resected segment of the gastric body. The segment, which was vascularized by the right gastroepiploic vessels, was anastomosed to the dome of the bladder. Both ureters were implanted to the gastric segment in one patient. Convalescence was uneventful. No gastric or urinary complication developed. Eight and two months postoperatively both patients were continent of urine and able to urinate satisfactorily. We believe that a gastric segment is a suitable alternative to an intestinal segment in reconstructing the urinary tract.
Department of Urology, Shinshu University School of Medicine.
O
O
Muraishi
A
A
Ogawa
H
H
Kato
N
N
Okada
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003556:Cystitis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects; D013270:Stomach / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014594:Uterine Neoplasms / Q000532:radiotherapy