Korean J Urol.  1997 Dec;38(12):1369-1374.

Clinical Evaluation and Experience of Ureterosigmoidostomy

• Yun BS
• Lee MS

Abstract

A clinical observation on 11 cases of ureterosigmoidostomy was made on whom had been operated at the department of Urology from January, 1985 to February, 1995. Underlying diseases at the time of operation were 9 cases of bladder cancer, 1 case of prostatic cancer and 1 case of urethrovesicovaginal fistula. In postoperative care,all patients were instructed to empty the rectum frequently, and took bicarbonate and potassium supplementation for electrolyte balance. Use of combined method with antireflux seems to lower the incidence of reflux, pyelonephritis and anastomotic site stricture. This way of diversion supplies a substitute bladder under voluntary control, devoid of any foreign body, appliance, or necessity of catheterization. We believe that ureterosigmoidostomy should not be overlooked and should be convenient alternative in well selected patients who have intact anal sphincter tone and desire a continent form of internal diversion with normal body shape.

Keyword

Ureterosigmoidostomy

MeSH Terms

Anal Canal
Catheterization
Catheters
Constriction, Pathologic
Equipment and Supplies
Fistula
Foreign Bodies
Humans
Incidence
Potassium
Prostatic Neoplasms
Pyelonephritis
Rectum
Urinary Bladder
Urinary Bladder Neoplasms
Urology
Water-Electrolyte Balance
Potassium