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Serous-lined extramural tunnel technique for uretero-ileal implantation in urinary diversion
1Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan. komokos@janis.or.jp
Abstract
Purpose:
We present our initial experience of a serous-lined extramural tunnel technique for anti-refluxing uretero-ileal anastomosis in five cases of orthotopic ileal bladder and four cases of continent ileal pouch.
Methods/Results:
Ureters were implanted into serous-lined tunnels formed from a detubularized W-configurated ileal segment. Neither upper tract dilatation nor reflux were observed in any patient postoperatively.
Conclusion:
The technique can provide an effective uretero-ileal anastomosis for reflux prevention with minimal use of the ileal segment and without the use of any artificial materials.