title: Serous-lined extramural tunnel technique for uretero-ileal implantation in urinary diversion.
abstract: OBJECTIVE
  We present our initial experience of a serous-lined extramural tunnel technique for anti-refluxing uretero-ileal anastomosis in five cases of orthotopic ileal bladder and four cases of continent ileal pouch.
  
  
  RESULTS
  Ureters were implanted into serous-lined tunnels formed from a detubularized W-configurated ileal segment. Neither upper tract dilatation nor reflux were observed in any patient postoperatively.
  
  
  CONCLUSIONS
  The technique can provide an effective uretero-ileal anastomosis for reflux prevention with minimal use of the ileal segment and without the use of any artificial materials.
authors.affiliation: Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan. komokos@janis.or.jp
authors.forename: H
authors.initials: H
authors.lastname: Kato
authors.forename: K
authors.initials: K
authors.lastname: Iizuka
authors.forename: Y
authors.initials: Y
authors.lastname: Igawa
authors.forename: O
authors.initials: O
authors.lastname: Nishizawa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012704:Serous Membrane / Q000601:surgery*; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014563:Urodynamics