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A novel antireflux technique using an intussuscepted ileal segment
Norihiko Tsuchiya1, Kazunari Sato, Shiguru Satoh
1Department of Urology, Akita University School of Medicine, Akita, Japan. tsuchiya@med.akita-u.ac.jp
Urologia Internationalis
|July 21, 2004
Summary
A novel surgical technique for antireflux ileal conduit urinary diversion shows promising early results. This method effectively prevents ureteral reflux in patients undergoing rectosigmoidal bladder procedures.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Urinary diversion is crucial in reconstructive surgery.
- Preventing ureteral reflux is essential for preserving renal function.
Purpose of the Study:
- To present a novel surgical technique for antireflux ileal conduit urinary diversion.
- To report early clinical outcomes of this new antireflux method.
Main Methods:
- A novel technique involving intussusception of a terminal ileal segment to create an antireflux nipple.
- The technique utilizes silk sutures and metal staples for secure fixation.
- Applied in 30 patients undergoing rectosigmoidal bladder procedures.
Main Results:
- Zero instances of ureteral reflux observed in 30 patients.
- Mean follow-up of 29.9 months.
- 88.3% of renal units showed normal pyelography; 12.7% had mild hydronephrosis postoperatively.
Conclusions:
- The presented antireflux ileal conduit technique is simple and reliable.
- It demonstrates efficacy in preventing ureteral reflux.
- The technique is potentially applicable to various urinary diversion and reconstruction surgeries.