Construction of an antirefluxing urinary conduit using a plicated ileocecal segment.
A plicated ileocecal segment was used to construct an antirefluxing urinary conduit in 3 patients. Each patient had markedly dilated or shortened ureters that prevented conventional Leadbetter ureteral reimplantation into a colon conduit. Ascending colon was brought out as a cutaneous stoma, the ureters were anastomosed to ileum, and an antireflux mechanism was created from plicated terminal ileum and the native ileocecal valve. Significant reflux was prevented in all 3 patients. This technique provides a means to prevent urinary reflux into short or dilated ureters, and increases the versatility of the ileocecal segment for use in diversion and urinary tract reconstruction.
Bihrle
R
R
Department of Urology, Indiana University Medical Center, Indianapolis.
Brito
C G
CG
Adams
M C
MC
Woodbury
P W
PW
Foster
R S
RS
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents; D013536:Suture Techniques; D014513:Ureter / Q000002:abnormalities; D014547:Urinary Diversion / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000517:prevention & control*