抄録
Thirty-six patients with cervical cancer received 38 urinary diversions in four years and seven months from June, 1962. Twenty-six operations were performed because of hydronephrosis, and other 12 operations were done because of urethral and bladder infiltration and ureteral fistula. Nine cases of urinary pathology were due to primary cancer including the cases under initial treatment, 24 were due to recurrent cancer and 5 were due to postoperative complications. Two cases of urethral infiltration, one of ileovesical fistula and one of ureteral fistula caused by recurrent cancer resulted unsatisfactory. A case of hydronephrosis was operated prophylactically. The other 25 cases were azotemic. Using BUN level as the index, the primary effects were divided in 4 groups, The BUN level of the postoperative cases with long standing ureteral stenosis and pyelonephritis was hardly returned to the normal range even after the diversion, but no further elevation was found. Six patients died with high BUN levels after the diversion. One case had pyelonephritis, and 4 cases had extensive cancer. Only one case failed to show response without any obvious cause and this may be due to irreversible kidney damage.
