Use of Ileum for Urologic Surgery: 1 Clinical Review on 11 Cases

Shim, Joon Goo

Abstract

The operations using ileum in 11 patients during the period from Nov. 1971 to Oct. 1973 in the Department of Urology, National Medical Center were performed for urinary diversion in 9 patients and ileocystoplasty in 2 patients. 1) The age distributions in cases of urinary diversion showed more than 50 years of age who had malignant disease except a I4 year old boy suffered from traumatic urethral stricture with fistula and in cases of ileocystoplasty were more younger. 2) Ureteroileocutaneostomy with total cystectomy, vesicoileocutaneostomy with urethrectomy, simple vesicoileocutaneostomy and ileocystoplasty were the method of operations. 3) Ureteroileal anastomoses by conjoining the spatulated ureters with suturing to the opened proximal end of the ileal segment were accomplished. 4) There was an operative death who was expired on the 3rd postoperative day due to acute renal failure. 5) We experienced 3 cases of technical failures which were corrected immediately during operations; a case of poor blood supply in the site of ileoileostomy, a case of antiperiataltic ureteroilealanastomosis and a case of ileal segmentalnecrosis. 6) The early complications were wound infection(6 cases), acute pyelonephritis(a cases) and intestinal obstruction(a case).