Serous-lined extramural tunnel technique for uretero-ileal implantation in urinary diversion.
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.
Kato
H
H
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan. komokos@janis.or.jp
Iizuka
K
K
Igawa
Y
Y
Nishizawa
O
O
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