Korean J Urol.  1982 Jun;23(3):354-361.

Uretero-Ileo-Cutaneous Anastomosis for Urinary Diversion -6Year Experience in 52 Patients-

• Park WH
• Choo KW

Abstract

The records of fifty two cases of the ileal conduit at the Seoul National University Hospital during a 6-year period from January 1, 1975 to December 31, 1980 were reviewed. 1. There were 42 males and 10 females (ratio of 4.2:1) ranged in age from 5 to 74 years with peak incidence in the 6th decade. 2. The most common indication of this procedure was bladder tumor and other indications were neurogenic bladder, bilateral ureteral stricture, genitourinary tuberculosis, actinomycosis, urethral stricture. urethral cancer and colon cancer. 3. Seventy seven percent of patients with abnormal renal function preoperatively improved postoperatively. 4. Operative mortality was 3.8%. Early complication included wound infection and disruption, sepsis, obstruction and urine leakage in ileoureteral junction, pneumonia, fecal leakage from ileoileal junction, postoperative acute renal failure, bleeding from ileal loop, and urethral bleeding. Late complication included intestinal obstruction, parastromal dermatitis, acute pyelonephritis, ureteral obstruction and incisional hernia. 5. Thirty three of 43 patients developed bacteriuria, 30.3% of the patients showed mixed infection and major causative organisms were Pseudomonas, Enterobacter, E. coli and Serratia.

Keyword

bladder tumor; Bricker operation; ureteroileocutaneostomy

MeSH Terms

Actinomycosis
Acute Kidney Injury
Bacteriuria
Coinfection
Colonic Neoplasms
Constriction, Pathologic
Dermatitis
Enterobacter
Female
Hemorrhage
Hernia
Humans
Incidence
Intestinal Obstruction
Male
Mortality
Pneumonia
Pseudomonas
Pyelonephritis
Seoul
Sepsis
Serratia
Tuberculosis
Ureter
Ureteral Obstruction
Urethral Neoplasms
Urethral Stricture
Urinary Bladder Neoplasms
Urinary Bladder, Neurogenic
Urinary Diversion*
Wound Infection