Stapled and nonstapled tapered distal ileum for construction of a continent colonic urinary reservoir

J Urol. 1988 Sep;140(3):491-4. doi: 10.1016/s0022-5347(17)41699-5.


A continent colonic urinary reservoir was created in 10 patients who had undergone anterior exenteration for invasive bladder carcinoma. A tapered distal ileal segment with a catheterizable abdominal stoma provided full continence in all 10 patients. Tapering of the terminal ileum was achieved with a gastrointestinal anastomosis stapler in 5 patients or with a bowel clamp in 5 others. Three purse-string sutures of 2-zero silk were placed on the tapered ileal segment to increase the intraluminal pressure. A nontunneled ureterocolonic anastomosis was performed in all 20 ureters. No obstruction or reflux was noted in 19 ureters (95 per cent). Hydronephrosis at the anastomotic site was noted in 1 ureter and was successfully dilated percutaneously.

MeSH terms

  • Adult
  • Aged
  • Colon / diagnostic imaging
  • Colon / surgery
  • Female
  • Humans
  • Ileum / diagnostic imaging
  • Ileum / surgery*
  • Male
  • Middle Aged
  • Radiography
  • Surgical Staplers
  • Urinary Bladder / surgery
  • Urinary Bladder Neoplasms / surgery
  • Urinary Diversion / adverse effects
  • Urinary Diversion / methods*