Please use this identifier to cite or link to this item:
Title: La sigmoidoplastia distal destubulizada. Descripción de la técnica
Authors: Isorna Martínez De La Riva, Santiago 
Issue Date: 1996
Publisher: 0004-0614
Journal: Archivos españoles de urología 
Abstract: OBJECTIVES: To describe a new technique for orthotopic bladder replacement using a short detubularized segment of the most distal portion of the sigmoid colon, termed 'detubularized distal sigmoidoplasty'. METHODS: The surgical technique utilized 1) large bowel to provide a larger intestinal lumen, stronger muscle layer and minimum metabolic activity; 2) a short segment providing adequate volume in the sigmoid and a reduced surface of exchange; and 3) a distal segment close to the urethra so it can be easily advanced without stretching and with minimum sectioning of the mesosigmoid. A short segment (approximately 18 cms) of the distal sigmoid is separated with minimum mobilization of the mesentery. It is detubularized to obtain a centrally located rectangle. The ureter is reattached using the antireflux technique of direct retrögrade submucosal tunneling with a symmetrical pseudotrigonal arrangement. The reservoir is constructed using a single transverse continuous suture that is interrupted 2 cms before complete closure of the neobladder to provide an orifice for urethral anastomosis. RESULTS: The technique is simple and utilizes a segment shorter than those described to date. Any segment of the sigmoid can be utilized. The neobladder can be shaped with a single continuous suture and the ureter can be reinserted in a more anatomic position. The reservoir has an adequate volume of approximately 300 cc. Voiding is accomplished by contraction of the reservoir and abdominal pressure. CONCLUSIONS: This neobladder technique is simple. It achieves excellent diurnal continence and maintains the contractile capacity which permits comfortable and compensated voiding.
ISSN: 0004-0614
Source: Archivos Espanoles de Urologia[ISSN 0004-0614],v. 49, p. 657-667
Appears in Collections:Artículos
Show full item record


checked on Jul 5, 2020

Page view(s)

checked on Jul 4, 2020

Google ScholarTM



Export metadata

Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.