A Study of Clinical Outcome of Double Folded Rectosigmoid Bladder with Extramural Subserous Tunneled Ureterocolonic Anastomosis (Abol-Enein and Ghoneim) for Urinary Diversion.

Background: To study and analyze the clinical outcome of double folded rectosigmoid bladder with extramural subserous tunnels done in various cases for urinary diversion after cystectomy. Method: Analysis and follow up of 18 cases of double - folded rectosigmoid urinary diversions done in various patients following cystectomy for various indications in Department of urology, King George Hospital, Vishakapatnam during the period between 2008 - 2009. Results: There was no deaths or deterioration of the upper tracts recorded in the study group. In early post-operative period wound infection developed in 4 cases, prolonged ileus was seen in 3 cases, Electrolyte imbalance was seen in 4 cases. Late complications noted, were pyelonephritis in 3 cases, acidosis in 2 cases and hypokalemia in 3 cases. All the early and late postoperative complications were successfully treated conservatively. Conclusion: Our study has shown that the double folded rectosigmoid bladder reconstruction is an easier procedure with an easier technique of reimplantation suited even for dilated ureters with a short operating time and has shown better continence rate with postoperative complications less in number and severity.