Ileal Augmentation Cystoplasty Combined with Ileal Ureter Replacement After Radical Treatment for XXXX .

@entity1 @entity1901 @entity5 @entity260 @entity530 @entity1011
BACKGROUND: This study reviewed the outcomes for @entity1 who underwent simultaneous bladder and ureter reconstructive surgery using the ileum after radical treatment for @entity5 . METHODS: The medical records of seven @entity1 who underwent augmentation ileocystoplasty with ileal ureter replacement between September 2006 and May 2013 were reviewed. Data on indications for surgery, underlying urologic comorbidities, type of ureteral replacement, @entity260 , and changes in renal function were obtained. RESULTS: The median age of the @entity1 was 56  years. The @entity5 was @entity5 in all the @entity1 , and the majority of the @entity1 (4/7, 57.1  %) were previously treated with radical hysterectomy plus radiotherapy. Ileal ureter replacement was performed on 11 renal units, and bilateral ileal ureter substitution was performed for four @entity1 , with the largest ureteral defect being 15  cm. The median length of the ileum used for augmentation and ureter substitution was 30  cm (range 15-40  cm), and the median hospital stay was 23  days (range 18-47  days). The overall rate of major complications (grade >= 3) was 57.1  % (4 of 7 @entity1 ). The median preoperative and immediate postoperative serum @entity1011 levels were respectively 1.2  mg/dL and 0.9  mg/dL. During a mean follow-up duration of 38  months, none of the @entity1 experienced deterioration of renal function after surgery. CONCLUSION: Ileal ureter substitution combined with augmentation ileocystoplasty is a useful surgical technique for bridging long ureteral defects caused by @entity1901 from surgery, radiotherapy, or both for @entity530 in contracted low-compliance bladders.
