Intraoperative prevention of spongiform fistula of the intestinal urinary reservoir-bladder during its suprapubic drainage

Bladder replacement surgery with an intestinal graft requires temporary urine diversion from the intestinal bladder in the postoperative period. There are various methods: urethral, suprapubic, and combined. The most common of them is suprapubic drainage [1-3]. The majority of authors perform suprapubic drainage of the intestinal bladder by means of derivative and adductive knees of an intestinal graft on the skin with the subsequent insertion of a rubber tube into its cavity. This method of drainage is accompanied by the formation of a spongiform fistula of the bladder, which can be eliminated only by repeated surgical intervention with installation of a permanent urethral catheter.