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KMID : 0358319770180010001
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Korean Journal of Urology
1977 Volume.18 No. 1 p.1 ~ p.9
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Clinical Observation on Substitute Bladders Replaced with Isolated Intestinal Segments
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민병갑/Min BK
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Abstract
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Physiologic micturition has been observed in 3 patients with vesical tumors who underwent total cystoprostatovesicutectomy, followed by construction of substitute bladders from isolated bowel segments (an ileal segment in 1 case and sigmoid segments in 2 cases) anastomosed to the urethra. The 2 patients of advanced vesical carcinoma died 8 and 18 months postoperatively, but the remaining one of multiple papillomatosis has been alive up to date 8 years postoperatively. It suggests that the sigmoid bladder is a useful method at the present time for urinary reconstruction following total cystectomy in certain selected cases to adapt them to the social life with "dry" condition, especially expecting competent uretero-sigmoid anastomosis.
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