[Urinary diversion by means of uretero-ileostomy. Long-term results]

The authors analyze a group of 187 patients where in 1969-1991 a ureteroileostomy was performed on account of malignant tumours (89.8%) or other diseases (10.2%). Ureteroileostomy was indicated along with cystectomy in 77 patients with tumours of the urinary bladder (63 times), with gynaecological carcinoma (21 times) and in tumours of the urethra and rectum (7 times). Indications in non-tumours diseases comprised a neurogenic bladder (10 times) exstrophy of the urinary bladder (6 times), post-traumatic incontinence of urine in women (twice) and iatrogenic injuries of the ureters (once). In all patients an anastomosis between the ureter and excluded loop, as described by Wallace, was used. The surgical mortality was 5.3%. During the immediate postoperative period 96 complications developed in 91 (51.3%) patients. As to late complications, most frequently complications of the stoma of the excluded loop were involved. Ureteroileostomy gives satisfactory results in the majority of patients, however, the number of complications is not negligible. The authors discuss the selection of derivation methods under our conditions.