Some uses of an isolated loop of ileum in genito-urinary surgery

The Use of the Ileum in Urology1

“…With normal kidneys no imbalance should occur (Pyrah et al, 1955). in my three cases the upper urinary tract has not changed ; there has been no evidence of reflux and no hydronephrosis.…”

“…Ileocystoplasty for Non-tuberculous Contracted Bladder.-The three cases of ileocystoplasty which I have done for non-tuberculous contracted bladder have given successful clinical results using method B (Fig. I), and details of these cases have been reported elsewhere (Pyrah and Raper, 1955). The first two cases done between January and May 1952 are satisfactory over four years later, as is the third case done in 1953 ; from having a nocturnal frequency often four to ten times, these patients now micturate either not at all or only once at night.…”

“…Replacement of Part of a Ureter.-The opening papers have demonstrated the successful use of the isolated loop of ileum in replacing part of a ureter removed for tumour or damaged by injury, and this procedure, first used by Nissen (1940), promises to be of permanent value. The isolated loop can be easily rotated to the right or to the left side of the abdomen without endangering its blood supply ; it can be placed either inside the peritoneal cavity, when it must be secured to the peritoneum of the iliac fossa by interrupted sutures to prevent herniation of small intestine, or it can be placed mainly extraperitoneally by passing it through an opening in the lateral peritoneum the edges of which can later be sutured in front and behind to the serosa of the ileal loop ; a case in which the operation was done in this way has been previously reported (Pyrah and Raper, 1955).…”

Supravesikale Harnableitung — Entwicklung und Ausblick

“…Mittels dieser Technik schuf Couvelaire 1951 erstmals eine kontinente Ileumblase bei einem Zystektomiepatienten [13]. 1955 modifizierten Pyrah u. Raper diese Operationstechnik, indem sie eine U-förmige Ileumschlinge mit der Urethra anastomosierten [53]. Diese Technik wurde von Camey zu weiter klinischer Verbreitung gebracht [9].…”

History of Urinary Diversion

“…Using this technique, Couvelaire [35] created for the first time a continent ileal bladder in a cystectomy patient in 1951. In 1955, Pyrah and Raper [36] from Leeds modified the operation by anastomosing a U-shaped ileal loop to the urethra. This procedure was introduced into clinical practice by Maurice Camey [37].…”