Undiversion after previous cystectomy and Bricker derivation.
A 45-year-old man operated in 1989 for bladder cancer by a Bricker diversion was suffering from intractable eczema and stoma problems. A undiversion was unavoidable. A 'Camey type' diversion having been performed, a simple ligation of the membranoprostatic urethra seemed impossible but was in fact surprisingly easy. After introduction of a Béniqué sound, a simple opening in a kind of diaphragm at the proximal end of the ligated urethra made it possible to anastomose the created pouch. The patient remained continent during day- and nighttime.
De Sy
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WA
Department of Urology, University of Ghent, Belgium.
Goerdin
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Lauweryns
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D015653:Cystectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent / Q000379:methods