Experiences in Ureteroileocecal Sigmoidostomy / 대한비뇨기과학회지

ABSTRACT

Ureteroileocecal sigmoidostomy is a method of continent urinary diversion which can protect the upper urinary tact from urinary reflux and infection, without external collecting devices and concomitant catheterization as in other forms of urinary diversion. Recently, we experienced 7 cases of ureteroileocecal sigmoidostomy in bladder cancer. Of them, 3 cases of immediate complications (retroperitoneal urinoma, wound disruption and ureteral obstruction ) were developed, but they could be corrected with prolonged placement of rectal tube or corrective surgery. And then, ureteral reflux, upper urinary tract infection and incontinence were not observed. So, ureteroileocecal sigmoidostomy is an attractive method of continent urinary diversion in selected cases.