Le Duc-Camey procedure as a method of ureteroileal implantation on augmentation cystoplasty in patients with myelodysplasia

• Published in: Nippon Hinyokika Gakkai zasshi Vol. 92; no. 4; p. 520
• Main Authors: Hirayama, A, Ono, T, Kawata, Y, Hirata, N, Yamamoto, M, Momose, H, Yamada, K, Shiomi, T
• Format: Journal Article
• Language: Japanese
• Published: Japan 01.05.2001
• Subjects: Adolescent; Adult; Anastomosis, Surgical - methods; Child; Female; Humans; Ileum - transplantation; Male; Neural Tube Defects - surgery; Ureter - surgery; Urinary Bladder - surgery; Urinary Diversion - methods
• ISSN: 0021-5287
• DOI: 10.5980/jpnjurol1989.92.520

We investigated the results of Le Duc-Camey procedure as a method of ureteroileal implantation on augmentation cystoplasty in patients with myelodysplasia. A total of 14 patients (25 renal units) underwent ureteroileal implantation with Le Duc-Camey procedure on augmentation cystoplasty. The possible causes of complications concerning ureteroileal implantation that developed during the postoperative observation were classified as preoperative factors and postoperative factors.: The preoperative factors were the causative disease required ureteroneostomy, the grade of preoperative VUR, and the ureteral diameter at the anastomosis with the ileum.: The postoperative factors were the volume, and the compliance of the urinary bladder, and the maximum intravesical pressureled by the peristalsis of the utilized intestine. With the mean observation period of 31.6 months, no complications developed but VUR observed in 4 renal units of 4 patients. The patients with VUR had a larger ureteral diameter at the anastomosis site to the ileum among the preoperative factors and a significantly larger maximum intravesical pressure led by the intestinal peristalsis among the postoperative factors when compared with the patients without VUR. Regarding ureteroileal implantation with Le Duc-Camey procedure on augmentation cystoplasty in patients with myelodysplasia. It seems necessary to consider some countermeasures for the dilated ureters and for the unexpected 2 elevation of intravesical pressure due to the peristalsis of the utilized intestine.