The Use of Bowel in Urologic Reconstructive Surgery

Abstract

Intestinal surgery involves an operative space shared by both general surgeons and urologists and is a border region where these 2 surgical disciplines often intersect. Urologists routinely use both small and large bowel for reconstructive procedures and surgeons often encounter such reconstructions of the urinary tract. It is essential for surgeons to understand the urologic indications for using intestinal segments for reconstructive procedures, the variety of such reconstructions, the anatomic landmarks and potential pitfalls that should be considered when intraoperatively encountering such reconstructions, and the potential metabolic consequences of the incorporation of bowel segments into the urinary collecting system.

Keywords: Appendicovesicostomy; Bladder augmentation; Bladder substitution; Ileal ureter; Metabolic changes; Neobladder; Urinary diversion.