Cervical cancer radiation injury to the urinary bladder and ureters: management by cecal augmentation to a previous ileal augmentation cystoplasty.
A case report of the management of severe post cervical carcinoma pelvic radiation injuries is presented. Management was accomplished by detubularized ileal augmentation cystoplasty followed by cecal augmentation to the detubularized ileal augmentation 4 years later when bilateral ureteral obstruction developed. The development of a vesicouterine fistula required the creation of a large bowel cecal conduit for cutaneous urinary diversion utilizing the cecal augmentation antireflux segment.
Mayersak
J S
JS
Department of Surgery, Wausau Hospital Center, WI 54401, USA.
Viviano
C J
CJ
Babiarz
J W
JW
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D002432:Cecum / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery*; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*