[The choice of urinary diversion in tumors of the small pelvis].

Two hundred sixty one operations were performed for urinary diversion in 253 patients with localized tumors of the small pelvis in 1953-1994. Urine was diverted through the skin in 224 cases, through the rectal sphincter-29 and the urinary bladder was replaced in 8 cases. Best advantage in the practice of oncology is offered by skin diversion.

[A detubularized reservoir for the urine made from the small intestine].

In the department of urology of the Georgian Cancer Research Center creation of small intestinal detubularized reservoir for urine was practiced for 4 years (1990-1994). Of a total of 35 patients, 27 underwent cystectomy for bladder cancer, whereas 8 patients with secondary cancer of the bladder and rectum were subjected to exenteration of the small pelvis organs. In 29 patients the reservoir was made using invagination valvular mechanism (in 6 cases according to D.

[The results of the diversion of urine into a large-intestine reservoir].

Cystectomy for bladder cancer with derivation of the urine into the colon was performed in 35 patients (30 males and 5 females). Postoperative lethality was 11.4% (4 patients).