Intravenous hyperalimentation in the treatment of difficult urologic problems

Intravenous hyperalimentation has gained great acceptance in the management of complex medical and surgical problems. This paper presents two cases of fistula developing in patients treated with irradiation and who had total cystectomy and ileal conduit diversion for carcinoma of the urinary bladder. The fistulas closed completely after two to four weeks of hyperalimentation. Neither patient required operation. Parenteral nutrition can be of value in the management of various difficult urologic problems.