Abstrakt: |
Sixteen bladder exstrophy patients were treated by diverting the urine Into a non-refluxlng colon conduit. There were 4 new, previously unoperated cases and 12 had been diverted earlier by Ileal conduit. Subsequently, 11 conduits were detached from the abdominal wall and joined end-to-side to the rectosigmoid colon. This method has proved satisfactory to date but long-term assessment will be needed. This staged method of ureterosigmoid urinary diversion appears to be a satisfactory way to manage new patients with bladder exstrophy and patients who have been diverted previously by an ileal conduit. |