Korean J Urol.
1981 Jun;22(3):271-276.
Urinary Diversion Using the Intestinal Segments
- Affiliations
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- 1Department of Urology, National Medical Center, Seoul, Korea.
Abstract
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A clinical observation on 18 cases of urinary diversion using the intestinal segment was made on who had been admitted to the Department of Urology from January. 1972 to December, 1979. 1) of 18 cases of urinary diversion, 15 were ureteroileocutaneostomy with total cystectomy and 3 were ureterosigmoidostomy. 2) 55 percent was fifth and sixth decades of age and the male to female ratio was two to one 3) The most common underlying disease was bladder cancer (89 percent) 4) Improvement was shown 66 percent of the cases in renal function and 50 percent in intravenous pyelographic finding, deterioration was shown 33 percent of the cases in renal function and 20 percent in intravenous pyelographic finding. 5) Major complications were wound infection, intestinal obstruction, acute pyelonephritis, ureteroileal obstruction, wound dehiscence, acute renal failure and pneumonia in order. 6) 6 cases were died from cancer recurrence within 4 years.