Vesicorectostomy Revisited

Abstract

Between 1948 and 1959 vesicorectostomy, a permanent anastomosis between the bladder and rectum, was constructed in 7 male patients. Scattered reports of this procedure exist but none since 1959 and long-term followup has never been reported. we present long-term followup, including renal function, excretory urography and voiding cystorectography, and review the quality of life in the 7 patients. The most frequent complication was stenosis of the anastomosis. None of the patients in this series with normal preoperative upper tracts showed radiographic or chemical deterioration postoperatively. Since this procedure maintains urinary continence, does not disturb the normal physiology of the ureterovesical junction and minimizes urinary reabsorption its use should be considered in certain patients as an alternative method of urinary diversion.

Vesicorectostomy

“…There is no need for tubes, catheters or other appliances. The longest follow-up times are 17, 18 and 22 years(Rabinowitz et al, 1976).Tuberculous Stricture of Ureter. A New Method of Intubated Ureterotomyk D. E. OSBORN, N. J. RAO and N. J. BLACKLOCK, Department of Urology, University Hospital of South Manchester, Manchester Fig.…”

Tuberculous Stricture of Ureter. A New Method of Intubated Ureterotomy

“…There is no need for tubes, catheters or other appliances. The longest follow-up times are 17, 18 and 22 years (Rabinowitz et al, 1976).…”