UPPER URINARY TRACT STATUS FOLLOWING URINARY DIVERSION ON EARLY POSTOPERATIVE IVP EXAMINATION
Article published in Urologia Polska 1997/50/1.

authors

Tomasz Demkow, Wojciech Rogowski, Grzegorz Madej: Klinika Nowotworów Układu Moczowo-płciowego
Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie
Kierownik Kliniki: prof. dr hab. G. Madej
Kierownik Centrum Onkologii Instytutu: prof. dr hab. A. Kułakowski

Objective. Upper urinary tract status in 40 patients after urinary diversion has been

analysed.

Material and method. Early (up to 30 days) postoperative IVP has been done on each

patient. 35 patiens underwent cystectomy because of invasive bladder cancer.The ileal

neobladder described by Studer has been created in 13 cases. The rest of the patients had

ileal conduit created. In 3 patients with vesico-vaginal fistula (following radioterapy of

cervical cancer) and in 1 case with colorectal cancer ileal conduit has been done.

In 1 patient with hyperchloremic acidosis following ureterosigmoidistomy the type of

derivation has been changed. Upper urinary tract dilatation has been observed in 7

patients on left-hand side, in 3 patients on right-hand side and in 3 patients on both sides.

Conclusion. The incidence of upper urinary tract dilatation on early postoperative

IVP has been found more freąuently on left-hand side.

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