A new technique for the prevention of reflux in those undergoing bladder substitution or undiversion using bowel segments

The use of small and large bowel segments in reconstruction of the bladder and in continent urinary diversion has become increasingly practical in recent years. Many of these patients are expected to achieve a near normal life and life expectancy as a result of such surgery. Reflux therefore represents a potential hazard to the upper tracts, especially when residual urine is present or the patient empties by intermittent catheterization, occasionally introducing bacteria. Various techniques to prevent reflux have been employed with varying degrees of success. We present our experience with seven patients undergoing undiversion or bladder substitution in whom a new technique for reflux prevention was employed. Of the seven patients, six are free of reflux at this time, and the technique seems applicable in several different clinical situations. © 1985 Springer-Verlag.

Duke Scholars

Author Cary Nobles Robertson Urology