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Related Experiment Videos

Undiversion after previous cystectomy and Bricker derivation

W A De Sy1, A Goerdin, A Lauweryns

  • 1Department of Urology, University of Ghent, Belgium.

European Urology
|January 1, 1994
PubMed
Summary

Undiversion surgery successfully addressed intractable stoma issues in a patient with a prior Bricker diversion for bladder cancer. The modified technique enabled urinary continence, resolving long-term complications.

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[General considerations on hypospadias].

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[Which technic for which form of hypospadias?].

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[Trans-glandular urethral advancement for distal hypospadias. A 16-year experience].

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[Transverse island flap for the correction of mild and severe hypospadias].

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Colpopromontoriopexy.

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Urethral advancement for distal hypospadias: 14 years' experience.

European urology·1994

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • A patient with a history of bladder cancer treated with Bricker diversion experienced severe eczema and stoma complications.
  • Undiversion became necessary due to intractable stoma-related issues.

Observation:

  • A Camey type diversion was performed, necessitating urethral management.
  • Ligation of the membranoprostatic urethra was anticipated to be difficult but proved surprisingly straightforward.

Findings:

  • A Béniqué sound facilitated the identification of a diaphragmatic opening at the proximal end of the ligated urethra.
  • This opening allowed for successful anastomosis with the constructed urinary pouch.

Implications:

  • The surgical approach enabled successful bladder reconstruction after prior diversion.

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  • The patient achieved complete daytime and nighttime urinary continence post-procedure.
  • This technique offers a viable solution for complex undiversion cases with challenging urethral anatomy.