title: [C.F.C.-type ureterosigmoidostomy. Results].
abstract: This paper presents the results obtained with a C.F.C. type ureterosygmoidostomy technique described by us. A total of 25 patients aged between 52 and 74 years (mean age, 65 years), 23 (23/25) male and 2 (2/25) female were evaluated. 24 of the total 25 patients had infiltrant neoplasia of the bladder (pT2: 8; pT3a: 12; pT3b: 4) which was graded as moderately differentiated (G2: 10) or undifferentiated (G3: 14). The remaining patient, a female, had tuberculous microbladder. Male patients underwent radical cystoprostatectomy (23/25); while in two females traditional cystectomy was performed (2/25). Patients with neoplasia of the bladder (24/25) were performed bilateral lymphadenectomy prior to radical surgery. All 25 patients were performed C.F.C. type ureterosygmoidostomy (Actas Urol Esp 20: 324, 1996). Follow-up of patients was carried out over a mean period of 27 months (July 1994-October 1997). The complications reported were 4 cases of ureterointestinal stricture and one stercoral fistula. The strictures were resolved with endoscopic techniques and the fistula through discharge colostomy. Death (6/25) occurred as a result of the tumour progression, and in no case was related to the surgical technique. All patients showed daytime continence (100%), and 22/25 were also continent during the nighttime (88%): there were occasional leaks in 5/25 (20%). No metabolic disorders were seen in any of the patients. (All patients were given drug therapy to prevent metabolic acidosis).
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen Macarena.
authors.forename: J
authors.initials: J
authors.lastname: Castiñeiras Fernández
authors.forename: J E
authors.initials: JE
authors.lastname: Camacho González
authors.forename: C
authors.initials: C
authors.lastname: Sánchez-Ferragut
authors.forename: A
authors.initials: A
authors.lastname: Ortiz Gámiz
authors.forename: M J
authors.initials: MJ
authors.lastname: García-Cabanillas
authors.forename: G
authors.initials: G
authors.lastname: Osman Aga
authors.forename: A
authors.initials: A
authors.lastname: Juárez Soto
authors.forename: M
authors.initials: M
authors.lastname: Soto Delgado
mesh_terms: D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014519:Ureterostomy; D014547:Urinary Diversion / Q000379:methods*
vernacular_title: Ureterosigmoidostomía tipo C.F.C. Aportación de resultados.