1975 Volume 66 Issue 11 Pages 785-792
Construction of ileal conduit is a method of urinary tract diversions which are indicated following urethrocystectomy for malignancy or to relieve urologic complications from cancer therapy of pelvic organs. During the period 1968 through 1974, total 93 such diversions were performed at the Department of Urology of Osaka University Hospital; 78 for cancer of bladder, 9 for uterine, 3 for urethral and 3 for colonic cancer.
Postoperative mortality rate was 5.4 per cent, and such postoperative complications as wound infections (28%), hepatitis (11%), fecal fistulas (4%), intestinal bleedings (4%), acute pyelonephritis (3%), transient obstructions of the ureteroileal anastomosis (3%), bowel obstructions (2%), urinary leakage (1%) and urinary calculi with hyperchloremic acidosis (1%) were observed. Five-year survival of the 70 patients with bladder cancer who had received both total cystectomy and ileal conduit construction was 54 per cent.
Benefits and problems of ileal conduit for the treatment of pelvic cancer and pathogenesis of the several complications of ileal conduit are discussed.
