1984 Volume 75 Issue 12 Pages 1927-1932
The late results on 100 patients who underwent urinary diversion at the Department of Urology, Jichi Medical School during the period of 1974 through 1983 were reviewed. The ages ranged from 4 to 84 years old, with sex ratio (M/F) 3.5 to 1. Bladder tumor was the indication of the operation in 76 cases, uterine cancer in 6, urethral cancer in 4, prostatic cancer in 3, the other malignancies in 3 and benign disease in 8.
Cystostomy was performed in 8 cases, nephrostomy in 7, intubated ureterocutaneostomy in 56, ileal conduit in 9 and uretrosigmoidostomy in 20 as the method of urinary diversion.
The relative 5-year survival rate was 51.2% as a whole. That of patients who underwent total cystectomy for bladder transitional cell cancer was 58.2%.
In the cases who underwent total cystectomy and urinary diversion, the postoperative mortality rate was 4.9% (3 cases) and details of postoperative complications were reviewed.
