TITLE:
New Look on Ureterocolic Diversion with Adjuvant Radiotherapy; SECI (South Egypt Cancer Institute) Experience
AUTHORS:
Badawy M. Ahmed, Ebrahim Aboeleuon, Ahmed M. Abdel-Rahim, Osama M. Abd Elbadee
KEYWORDS:
Ureterocolic Shunt, Ureterosigmoidostomy, Continent Diversion
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.9 No.11,
November
20,
2018
ABSTRACT: Background: Ureterosigmoidostomy
was the first form of continent urinary diversion and had broad popularity
during the first half of the 20th century. Primary enthusiasm was followed by disappointment
when serious problems such as pyelonephritis, electrolyte imbalance, renal calculi
and renal function deterioration become evident. In the 1950s these life
threatening complications led to avoid this urinary diversion in favor of
uretro-intestinal conduits. Objectives: Our aim was to evaluate our experience in ureterocolic shunt after
radical cystectomy for bladder cancer. Methodology: This study was
conducted in surgical oncology department, South Egypt cancer institute, Assiut
university; in the period from January 2012 to January 2017 and including 115
patients (75 males & 40 females). Results: This
is retrospective study including 115 patients (75 males & 40 females).
Operative time was 130 minutes ranging between 2 to 2.5 hours. Average blood
loss was 450 ml. After removal of rectal tube all patients were continent
except 15 patients who were improved after 1 - 3 days.
Within a month 12 patients had night incontinence and 5 patients had day time
incontinence. After that day and night continence gradually improved in all
patients except two females who had persistent night soiling and was in need
for night time rectal tube. Conclusion: Ureterosigmoidostomy regains the interest of surgical
oncology and urologist because of its simplicity and absence of appliance as
many patients refusing cutaneous stoma and others are not suitable for
orthotopic substitutes.