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KMID : 0358319960370091021
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Korean Journal of Urology
1996 Volume.37 No. 9 p.1021 ~ p.1026
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The Applications of Appendix in Urinary Reconstruction
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Abstract
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Under specific circumstances the appendix vermiformis may be an appropriate organ for replacement of a large ureteral defect or efferent loop in continent urinary diversion. Since 1995 we have applied the appendix in ureteral substitution (3
cases)
and
continent urinary diversion (3 cases0. Primary diagnoses included complete lower ureteral stricture due to urinary tuberculosis (3 cases), invasive bladder tumor (1 case), areflexic neurogenic bladder (1 case), and contracted bladder (1 case). In
all
patients who have been replaced the ureter with appendix, clinical symptoms were markedly improved and degree of hydronephrosis decreased. Other patients with continent urinary diversion using appendix achieved dryness and low postoperative
complications. We anticipate that the appendix will be used more commonly in the future as a urteral substitute or continent urinary diversion as more urologists become comfortable with it through its use in various reconstructive procedures.
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