婦人科手術後尿管合併症における尿管再建術 --とくに膀胱機能障害との関係について--

Abstract

Ureter and bladder lesions usually follow to cervical carcinoma or its radical hysterectomy. Urinary diversions to the obstruction of ureters, were carried out for the relief of anuria, oliguria and marked hydronephrosis, on which ileal conduit was more effective procedure in our experience. Ureteral reconstructions for the treatment of ureterovaginal fistula were done by two methods which were Boari's procedure and direct ureterocysto-neostomy in the past five years. Complications, such as urinary leakage, vesico-ureteral reflux or renal functional impairment, were frequently observed. The occurrence of those complications seemed to be influenced by the existence of bladder dysfunction and not by the operative procedures. Indication of Boari's procedure was discussed and it was concluded that only the patients with normal bladder function should be indicated.