The Applications of Appendix in Urinary Reconstruction.
- Author:
Jeong Won SEO
1
;
Yong Tae KIM
;
Wun Jae KIM
Author Information
1. Department of Urology, Chungbuk National University, Cheongju, Korea.
- Publication Type:Original Article
- Keywords:
appendix;
ureteral substitution;
urinary diversion
- MeSH:
Appendix*;
Constriction, Pathologic;
Diagnosis;
Humans;
Hydronephrosis;
Postoperative Complications;
Tuberculosis;
Ureter;
Urinary Bladder;
Urinary Bladder Neoplasms;
Urinary Bladder, Neurogenic;
Urinary Diversion
- From:Korean Journal of Urology
1996;37(9):1021-1026
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Under specific circumstances the appendix vermiformis may be an appropriate organ for replacement of a large ureteral defect or efferent loop in continent urinary diversion. Since 1995 we have applied the appendix in ureteral substitution (3 cases) and continent urinary diversion (3 cases). Primary diagnoses included complete lower ureteral stricture due to urinary tuberculosis (3 cases), invasive bladder tumor (1 case), areflexic neurogenic bladder (1 case), and contracted bladder (1 case). In all patients who have been replaced the ureter with appendix, clinical symptoms were markedly improved and degree of hydronephrosis decreased. Other patients with continent urinary diversion using appendix achieved dryness and low postoperative complications. we anticipate that the appendix will be used more commonly in the future as a ureteral substitute or continent urinary diversion as more urologists become more comfortable with it through its use in various reconstructive procedures.
