title: Complications of the Heitz-Boyer urinary diversion: case report of late development of malignancy.
abstract: We report on 3 patients with bladder exstrophy followed for more than 15 years after having undergone Heitz-Boyer urinary diversion. One patient had adenocarcinoma at the ureterocolonic anastomoses 16 years after diversion. To our knowledge this is the first reported case of a malignancy developing after a Heitz-Boyer procedure. The other 2 patients had significant problems with urinary incontinence and recurrent urinary tract infections. Initial success with this form of urinary diversion can be followed by significant long-term complications.
authors.affiliation: Department of Urology, Wilford Hall USAF Medical Center, Lackland Air Force Base, San Antonio, Texas.
authors.forename: T H
authors.initials: TH
authors.lastname: Phillips
authors.forename: M L
authors.initials: ML
authors.lastname: Ritchey
authors.forename: C D
authors.initials: CD
authors.lastname: Dunn
authors.forename: M F
authors.initials: MF
authors.lastname: Sarosdy
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery; D002432:Cecum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012004:Rectal Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012007:Rectum / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods; D014549:Urinary Incontinence / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology / Q000473:pathology / Q000601:surgery