Korean J Urol.
1990 Oct;31(5):747-753.
Uretero-Ileal-Urethral Anastomosis
- Affiliations
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- 1Department of Urology, Soon Chun Hyang University, Medical College, Seoul, Korea.
Abstract
- The continent ileal neobladder is an ileal pouch that is anastomosed to the urethral stump for urinary diversion after radical cystectomy. We report our results in 4 patients who underwent this type of diversion. The 1st case is Camey procedure. In another 3 cases, to achieve a low pressure system, disruption of directional bowel peristalsis with a longitudinal incision at tire antimesenteric border of a 40cm to 60cm ileal segment is performed. A spherical pouch, the neobladder, is fashioned and anastomosed to the urethra. The ureters are implanted according to the method of Le Duc and Camey (Case 2). In case 3 and 4, the ureters are implanted by an antireflux nipple ureteroileostomy. The use of this ileal neobladder in male patient undergoing radical cystectomy offers an alternative free of a stoma to urinary diversion.
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