Clinical Observation on Substitute Bladders Replaced with Isolated Intestinal Segments.
- Author:
Byung Kap MIN
1
Author Information
1. Department of Urology, Chonnam University Medical School, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
bladder substitution;
intestinal segments
- MeSH:
Colon, Sigmoid;
Cystectomy;
Humans;
Papilloma;
Urethra;
Urinary Bladder*;
Urination
- From:Korean Journal of Urology
1977;18(1):1-9
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Physiologic micturition has been observed in 3 patients with vesical tumors who underwent total cystoprostatovesicutectomy, followed by construction of substitute bladders from isolated bowel segments (an ileal segment in 1 case and sigmoid segments in 2 cases) anastomosed to the urethra. The 2 patients of advanced vesical carcinoma died 8 and 18 months postoperatively, but the remaining one of multiple papillomatosis has been alive up to date 8 years postoperatively. It suggests that the sigmoid bladder is a useful method at the present time for urinary reconstruction following total cystectomy in certain selected cases to adapt them to the social life with "dry" condition, especially expecting competent uretero-sigmoid anastomosis.