Gastrocystoplasty

Abstract

In two female patients with severe radiation cystitis, aged 69 and 62 years, the bladder was augmented by an operationally resected segment of the gastric body. The segment, which was vascularized by the right gastroepiploic vessels, was anastomosed to the dome of the bladder. Both ureters were implanted to the gastric segment in one patient. Convalescence was uneventful. No gastric or urinary complication developed. Eight and two months postoperatively both patients were continent of urine and able to urinate satisfactorily. We believe that a gastric segment is a suitable alternative to an intestinal segment in reconstructing the urinary tract.

Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation

“…To maximize quality of life, gastrocystoplasty is an alternative solution for urinary diversion and can be indicated for irradiated patients because the stomach is located away from the irradiated field 2,3 . The advantages of the procedure include reducing systemic acidosis and urinary tract infection by acidic urine, and no mucus production.…”

“…1 To maximize quality of life, gastrocystoplasty is an alternative solution for urinary diversion and can be indicated for irradiated patients because the stomach is located away from the irradiated field. 2,3 The advantages of the procedure include reducing systemic acidosis and urinary tract infection by acidic urine, and no mucus production. Furthermore, the submucosal tunnel technique for ureteral implantation can be easily applied to a wall of the gastric segment and the patient can void from the urethra.…”

“…1 Gastrocystoplasty is another option to deal with these patients, and it may result in the patient being able to void from the urethra. 2,3 However, dealing with the original bladder as well as the distal part of the ureters can be hazardous because of postoperative and postradiation frozen pelvis, and therefore the procedure requires significant expertise. Furthermore, gastrocystoplasty may not be indicated for patients who have a long ureteral stricture or defect.…”