[A procedure for avoiding reflux in uretero-ileal implantations during enterocystoplasty (author's transl)]

Excellent results are obtained when treating infiltrating bladder cancer without lymph node invasion, by means of a total prostatocystectomy and replacement enterocystoplasty using an ileal loop: 66 per cent survival after 5 years and 51 per cent after 9 years. It appeared logical to the authors to try to prevent urine reflux into the ureters in order to prolong survival. Their procedure consists of burying half of the length of the 4 cm long ureteral stump between the mucous and muscle layers, leaving the other half free in the ileal lumen. No cases of stenosis or reflex occurred during 10 consecutive ureteral implantations in 6 patients, but there has been an insufficient follow-up period for any definite conclusions to be drawn.