尿管皮膚瘻より回腸導管への再変向の1例

Abstract

A 73-year-old man, who underwent bilateral cutaneous ureterostomy following total cystectomy due to tumor, was admitted because he had been suffering from complications, such as pyelonephritic attacks, plugging and removal of the indwelling catheters and pain around the stoma. In order to relieve these complications, ileal conduit construction was performed although the length of ureters was thought to be short for ureteroileostomy. However, it was done easily by making ileal segment twice as long as usual and this conduit neither disturbed the serum electrolyte levels nor deteriorated renal function. Re-diversion to ileal conduit resulted not only in relief from the complications associated with cutaneous ureterostomy but also in improvement of the quality of life for the patient.