Use of the Isolated Segments of Intestines in Urologic Surgery

Kim, Young Gon; Park, Young Kyung

Abstract

In the field of urological surgery, the use of bowel has been established as a method of urinary diversion or reconstruction of urinary tract since ileal conduit was settled by Bricker in 1950. 14 cases of urinary diversion or reconstruction with the use of intestinal segments were performed on the patients admitted to the Department of Urology in Jeonbug National University Hospital in last three years. The results were as follows. 1. The age distribution was from 3rd to 7Ih decade and 9 cases were male and 5 cases were female. 2. The patients were consisted of 7 cases of bladder cancer, 4 cases at contracted bladder due to tuberculosis and I case of vesicovaginal fistula, congenital UPJ stricture and tuberculous UVJ stricture with tuberculous cystitis. 3. In operation, ileal conduit for 4 cases of bladder tumor and 1 case of vesicovaginal fistula, sigmoid conduit for 3 cases of bladder tumor, ileocecal cystoplasty for 2 cases of contracted bladder due to tuberculosis and 1 case of tuberculous UVJ stricture, sigmoid cystoplasty for 2 cases of contracted bladder due to tuberculosis and ileal ureter for 1 case of congenital UPJ stricture. Accompanying ileal conduit and sigmoid conduit for bladder tumor total cystectomy was performed in all cases. 4. The postoperative complications included wound infection, urine leakage, evisceration, prolonged ileus, pyelonephritis and pelvioileal stricture. Operative mortality was 7.2%. 5. After ileocecal and sigmoid cystoplasty for contracted bladder the interval of urination was prolonged to 2 hours or more at 3 months after operation. 6. Antireflux procedure was performed in total 6 cases including 3 cases of sigmoid conduit and 3 cases of ileocecal cystoplasty.