Document Detail


Nonrefluxing ureteroileal cystoplasty for bladder augmentation or replacement of ureters: long-term results of own technique.
MedLine Citation:
PMID:  4032585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The technique of a nonrefluxing end-to-end ureteroileal anastomosis is described. The conjoined ends of both ureters are formed into a 4 to 5 cm. long ureteral tube that is placed loosely into the bowel lumen. Increased intraluminal pressure during micturition closes the valve by compressing the ureter wall from outside, thus, preventing reflux. An end-to-end enteroureteral anastomosis has been used in 32 ileal or colon conduits and in 6 patients with ureteroileal cystoplasty. The followup (range 1 to 15 years) of these 6 patients who underwent bladder augmentation or ureteral replacement is presented. Based on this experience, this type of anastomosis appears to be fast and safe, without urine leakage, stenosis or reflux. The nonrefluxing safety valve mechanism makes this anastomosis applicable for bladder augmentation, with no ill-effects and good long-term function.
Authors:
H Kiesswetter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  134     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1985 Oct 
Date Detail:
Created Date:  1985-10-21     Completed Date:  1985-10-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  741-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Humans
Ileum / radiography,  surgery
Male
Methods
Middle Aged
Postoperative Complications
Reoperation
Ureter / radiography,  surgery
Urinary Bladder / radiography,  surgery
Urinary Diversion / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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