A CLINICAL STUDY ON URETEROSIGMOIDOSTOMY AND URETERORECTOSTOMY

Abstract

Clinical studies were done on 29 patients who underwent ureterosigmoidostomy or ureterorectostomy with cystectomy because of malignancy. Ten patients died, -six of recurrence and four of unrelated diseases. Nineteen patients are alive, leading active life. Electrolyte imbalances are apparently managed by compelling patients to void frequently by locating anastomosis as caudal as possible, to the rectum or to the sigmoid colon close to the rectum. Hypokalemia was not seen after the disappearance of the transient hydronephrosis on IVP and hyperchloremic acidosis was easily managed by sodium bicarbonate supplement. The incidence of urinary tract infection was minimized by maintaining sufficient urinary volume with adequate amount of fluid. Since patients can return to social life more comfortably without any problem of external collecting device and without any trouble of urinary smell, ureterosigmoidostomy or rectostomy should be considered more frequently as a method of urinary diversion.