Antireflux ureteroileal anastomosis in ileal conduit urinary diversion and in ileocystoplasty following cystoprostatectomy.
Ureteroileal anastomosis, in which intraintestinal ureteral segment was implanted in a mucosal sulcus, was used in ileal conduit urinary diversion on 17 patients and in ileocystoplasty for total replacement of the bladder on 4 patients. Conduitography or cystography, performed 3 months after operation, demonstrated reflux in 1 out of 39 reimplanted ureters (2.6%). Six months after surgery one anastomosis was stenotic and was treated by percutaneous balloon dilatation. Four ureters were slightly dilated and a stone had developed in one ureter. The method seems to be effective and easy to perform.
Nurmi
M
M
Department of Surgery, University of Turku, Finland.
Puntala
P
P
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy; D011859:Radiography; D014513:Ureter / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*