Ces Urol 2001, 5(1):17-20 | DOI: 10.48095/cccu2001004

Less common methods of urine derivation

R. Fiala¹, B. Hruban², F. Záťura¹, R. Reif¹

¹ Urologická klinika, Fakultní nemocnice, I. P. Pavlova 6, Olomouc

² Chirurgické oddělení, Nemocnice Prostějov

Authors have provided three operations of patients with serious damage of lower urinary tract, where was necessary to provide the urine derivation under uncommon circumstances and using unusual techniques.
Patients had history of severe surgical or gynaecological operations and their consequences required atypical operative management of resulting urological diseases.
The radical cystectomy was followed by incontinent urine derivation of Bricker type (axial in the common stoma together with terminal ileostomy) in the first patient, in the second patient with the same previous amputation procedure the persistent typical terminal sigmoidostomy was changed into the wet colostomy. The damaged upper urinary tract after unsuccessful surgeries for incontinence required the heterotopic enterocystoplasty in the third patient.

Keywords: Cystectomy, Urine derivation, Uretheral-ileostomy, Ureterocolostomy, Heterotopic enterocystoplasty

Published: January 1, 2001