Versatility of reconfigured-colon-segment technique for urinary reconstruction requiring use of tubular structures.
BACKGROUND
When a colon segment is used for urinary reconstruction and a tubular structure is necessary, the option for the tubular structures is limited. We prepared a short colon segment in advance for creating a reconfigured tube.


METHODS
Short colon segments are separated beforehand from the edges of the main colon segment for a continent urinary reservoir or augmentation cystoplasty. The short segments are either reconfigured, if necessary, into tubular structures to produce a continent valve or to replace a ureteral defect or discarded if they prove not to be needed. The number of short segments can be predicted on the basis of the clinical situation before and during the operation.


CONCLUSIONS
Preparation of short colon segments is useful for urinary reconstruction using a colon segment that might require a number of tubular structures. The technique provides versatility and flexibility in difficult clinical conditions.
Kato
Haruaki
H
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Igawa
Yasuhiko
Y
Nishizawa
Osamu
O
D000293:Adolescent; D000328:Adult; D001065:Appendix / Q000601:surgery; D002648:Child; D003106:Colon / Q000637:transplantation*; D003559:Cystostomy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000601:surgery; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D016476:Urinary Reservoirs, Continent