Antireflux Ureteroileal Anastomosis in Ileal Conduit Urinary Diversion and in Ileocystoplasty Following Cystoprostatectomy

Abstract

Ureteroileal anastomosis, in which intraintestinal ureteral segment was implanted in a mucosal sulcus, was used in ileal conduit urinary diversion on 17 patients and in ileocystoplasty for total replacement of the bladder on 4 patients. Conduitography or cystography, performed 3 months after operation, demonstrated reflux in 1 out of 39 reimplanted ureters (2.6%). Six months after surgery one anastomosis was stenotic and was treated by percutaneous balloon dilatation. Four ureters were slightly dilated and a stone had developed in one ureter. The method seems to be effective and easy to perform.

Keywords::

• ureteral surgery
• urinary diversion
• bladder surgery
• bladder neoplasms