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Undiversion after previous cystectomy and Bricker derivation
W A De Sy1, A Goerdin, A Lauweryns
1Department of Urology, University of Ghent, Belgium.
Abstract:
A 45-year-old man operated in 1989 for bladder cancer by a Bricker diversion was suffering from intractable eczema and stoma problems. A undiversion was unavoidable. A 'Camey type' diversion having been performed, a simple ligation of the membranoprostatic urethra seemed impossible but was in fact surprisingly easy. After introduction of a Béniqué sound, a simple opening in a kind of diaphragm at the proximal end of the ligated urethra made it possible to anastomose the created pouch. The patient remained continent during day- and nighttime.
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