Neoplasia associated with ureterosigmoidostomy is uncommon but important. Two patients, one of whom developed symptoms five years after the ureterosigmoidostomy had been taken down, are reported. The authors support the theory that these tumors may arise from the ureter. When ureterosigmoidostomies are dismantled, the site of implantation should be resected and the patients kept under long-term endoscopic review.
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http://dx.doi.org/10.1007/BF02554895 | DOI Listing |
AJOG Glob Rep
May 2024
Division of Global Women's Health, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX (Drs Patel, Draganchuk, and Wilkinson).
Background: Obstructed labor leading to a vesicovaginal fistula remains a devastating outcome of childbirth in low-resource countries. Women with an irreparable vesicovaginal fistula may be candidates for a urinary diversion, such as the Mainz II modified ureterosigmoidostomy procedure. Previous reviews state that the procedure should be considered in low-resource countries.
View Article and Find Full Text PDFInt Urol Nephrol
September 2024
General Surgery Department A, Charles Nicolle Hospital, Tunis, Tunisia.
Urol Case Rep
November 2023
Department of Urology, Icahn School of Medicine at Mount Sinai, Gustave L. Levy Place, New York, NY, 10029, USA.
Bladder exstrophy (BE) is a rare congenital disorder causing bladder and urethral malformation due to an abdominal wall embryological defect. Traditionally, BE had a poor life expectancy, but advances now offer a normal lifespan. A 57-year-old male with BE history and ureterosigmoidostomy repair presented with intractable hematuria, urethral discharge, and recurrent prostatic infections.
View Article and Find Full Text PDFUrol Case Rep
November 2022
Hospital Universitario Infanta Sofía, Paseo de Europa 34, 28702, San Sebastián de los Reyes, Madrid, Spain.
Ureterosigmoidostomy is considered to be the oldest urinary diversion technique performed for the first time in the 19th Century in patients with urinary malformations. However, the high rate of complications as well as the significant risk of developing tumors in the colonic portion of the ureteral anastomosis have given rise to other new intestinal urinary diversion techniques. We present the case of a patient with two synchronous enteroid adenocarcinomas, with a latency period of 66 years, at the site of both ureterocolonic anastomoses after ureterosigmoidostomy performed during childhood owing to bladder exstrophy.
View Article and Find Full Text PDFUrology
November 2022
The Catherine & Joseph Aresty Department of Urology, Keck Medical Center of USC, Los Angeles, CA.
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