OBJECTIVE: To assess a new procedure of urinary diversion after cystectomy for @entity150 . @entity1 AND METHODS: Thirty-two @entity1 (14 @entity1 and 18 @entity1 , mean age 54 years, range 35-70) treated by radical cystectomy for @entity150 underwent urinary diversion using a new technique. After mobilization of the sigmoid colon, the @entity188 , two adjacent colotomies were made to complete a stapled side-to-side @entity254 , with intussusception and implantation of the ureters between the layers of the intussusceptum. Two ureteric stents (8F) were brought out through the iliac fossa, and a rectal tube introduced through the anus and the intussusception to the proximal colon. The reservoir was assessed by urodynamic studies, using the anorectal perfusion catheter. RESULTS: Twenty-eight @entity1 were continent day and night, with mild soiling in the remaining four at night. Complications included a @entity9132 in three @entity1 and a fecal @entity292 in one; all were treated conservatively. @entity14079 occurred in only two @entity1 . CONCLUSION: The pouch created has a low pressure, a high capacity and provides effective continence. Surgery remains adequately radical, by removing the prostate and the membranous urethra. The implanted ureters between the layers of the intussusceptum provided an effective antireflux mechanism and markedly improved kidney function. The intussusception prevents reflux of the pouch contents into the proximal colon and minimizes metabolic complications. The technique needs neither colostomy nor small intestinal manipulations.

A low-pressure rectosigmoid pouch created by side-to-side XXXX with a stapling technique and sigmoid colon intussusception as an antireflux procedure.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'PATIENTS', 'men'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity188 :: ('MESH:D012004', 'Disease') :: ['splenic flexure and the upper rectum'] @entity150 :: ('MESH:D001749', 'Disease') :: ['bladder cancer'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity14079 :: ('MESH:D020739', 'Disease') :: ['Metabolic complications'] @entity9132 :: ('MESH:D014548', 'Disease') :: ['urinary fistula']
@entity254 :: (MESH:C563598,Disease) :: ['anastomosis']
