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A Technique for Total Substitution of the Lower Urinary Tract without the Use of a Prosthesis
Author(s) -
R. MUNDY A.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04360.x
Subject(s) - medicine , surgery , anastomosis , radical hysterectomy , urinary fistula , urology , prosthesis , fistula , urinary continence , urinary system , prostate , prostatectomy , anatomy , cancer , cervical cancer
Summary— A technique is described for total replacement of the lower urinary tract in women in which a pedicled labial skin tube is created and anastomosed to a substitution cystoplasty with a submucosal tunnelled type of “anti‐reflux” anastomosis which provides a continence mechanism. The patients thereafter void by intermittent self‐catheterisation. This technique has been used in 6 women as part of total pelvic reconstruction for vesico‐vagino‐rectal fistula following radical radiotherapy, with or without a Wertheim's hysterectomy, for carcinoma of the cervix. A similar technique using a pedicled preputial/penile skin tube has been used in 2 men following a cystoprostato‐urethrectomy for transitional cell carcinoma of the bladder.