Ureter and bladder replacement following radical cystectomy.
During the course of Hautmann-type bladder replacement, left sided ureter damage necessitated ureter replacement as well, modifying the removal of the ileum-bladder. The proximal 20 cm length of the 70 cm long isolated ileum portion was not detubularized; instead it was slipped through the mesosigma and mesocolon to the left side of the colon and the left ureter stub was anastomized without tautness to the ileum according to Le Duc. The implantation of the right ureter was accomplished according to Hautmann. For similar cases authors recomment this procedure, since neither stricture, nor reflux could be detected at later examinations.
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Department of Urology, Szent István Hospital, Budapest, Hungary.
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D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy / Q000534:rehabilitation*; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology