Simultaneous ureteral and bladder intestinoplasty
https://doi.org/10.17650/1726-9776-2014-10-3-54-58
Abstract
The purpose of the investigation was to study the long-term results of reconstructive surgery in patients who had undergone simultaneous ureteral and bladder intestinoplasty. The investigation enrolled 33 patients with different bladder diseases complicated by secondary hydroureteronephrosis. After radical cystectomy, the U. E. Studer method was used to form a low-pressure orthotopic reservoir from the ileum with an afferent tubular segment in 23 (69.7 %) patients. Y-shaped ileoureterocystoplasty was carried out to recover extensive ureteral and bladder defects in 10 (30.3 %) cases. Long-term surgical results were assessed on the basis of a comprehensive examination involving laboratory, X-ray, radionuclide, and endourological studies. An isolated loop of the small bowel is a universal plastic material that may be used not only to bilaterally replace any ureteral defect, but also to simultaneously repair the bladder, by preserving independent urination.
About the Authors
B. K. Komyakov
Unit of Urology, City Multidisciplinary Hospital Two, Saint Petersburg
Russian Federation
Russian Federation
V. A. Ochelenko
Unit of Urology, City Multidisciplinary Hospital Two, Saint Petersburg
Russian Federation
Russian Federation
E. S. Shpilenya
Unit of Urology, City Multidisciplinary Hospital Two, Saint Petersburg
Russian Federation
Russian Federation
T. Kh. Al-Attar
Unit of Urology, City Multidisciplinary Hospital Two, Saint Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Komyakov B.K., Ochelenko V.A., Shpilenya E.S., Al-Attar T.Kh. Simultaneous ureteral and bladder intestinoplasty. Cancer Urology. 2014;10(3):54-58. (In Russ.) https://doi.org/10.17650/1726-9776-2014-10-3-54-58
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