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Rectosigmoidal bladder utilizing an intussuscepted ileal segment: a surgical technique for urinary diversion
1Department of Urology, Akita University School of Medicine, Hondo, Akita, Japan. tkato@med.akita-u.ac.jp
Aktuelle Urologie
|October 21, 2003
Summary
This study introduces a new urinary diversion technique using an ileal segment to prevent complications like reflux and stenosis. Early results in 15 patients suggest its suitability when the urethra is unavailable.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Urinary diversion is crucial for patients lacking a functional urethra.
- Existing methods can lead to complications such as ureteral reflux, stenosis, and incontinence.
Purpose of the Study:
- To present a novel urinary diversion technique.
- To evaluate its efficacy in preventing common complications.
Main Methods:
- A new technique involving an intussuscepted ileal segment between ureters and a rectosigmoidal pouch was designed.
- Surgical procedures were confined to the lower abdominal cavity.
- Early clinical experience in 15 patients was assessed.
Main Results:
- The technique successfully prevented ureteral reflux and stenosis at the uretero-enteric anastomosis.
- It also mitigated risks of urocolonic carcinoma and incontinence.
- Surgical invasiveness was comparable to an ileal conduit.
Conclusions:
- This novel urinary diversion technique offers a promising solution for patients requiring diversion.
- It effectively addresses major complications associated with traditional methods.
- The procedure is a viable option when urethral reconstruction is not possible.