Ureterosigmoidostomy. Academic Article uri icon

Overview

abstract

  • Some historical aspects of ureterosigmoidostomy are described, and various techniques are discussed and illustrated. Our own satisfaction with the results when the procedure is done through the open sigmoid colon is expressed. Ureterosigmoidostomy, which has in some surgeons' hands fallen into disuse, will continue to be used and probably should be used more than it is at present. When ureterosigmoidostomy is done meticulous care is important in producing a long submucosal tunnel with direct anastomosis of the ureter to the bowel. Preoperative bowel preparation is mandatory. Patients who have undergone ureterosigmoidostomy should remain on a low chloride diet indefinitely with an adequate supplement of sodium potassium citrate to diminish the dangers of electrolyte imbalance and hyperchloremic acidosis. Careful postoperative management and followup care are vital to success.

publication date

  • July 1, 1977

Research

keywords

  • Urinary Diversion

Identity

Scopus Document Identifier

  • 0017740981

Digital Object Identifier (DOI)

  • 10.1016/s0022-5347(17)57938-0

PubMed ID

  • 327103

Additional Document Info

volume

  • 118

issue

  • 1 Pt 2