INTESTINAL SEGMENTS AT RECONSTRUCTIVE PLASTIC SURGERY IN URINARY TRACT

Abstract

Objective: this article presents the analysis of treatment’s results, life’s quality and long-term postoperative period’s complications at using intestine segments for replacement plastic of bladder and ureter.

Material and methods: this study included 122 patients with plactic by intestine segments at urology department of Pirogov National Medical & Surgical Center. At bladder’s reconstructive plastic we used Hautmann’s method (59 operations) and Reddy’s method (36 operations). At ureter’s reconstructive plastic we used method of ileoureteroplastic (all 27 operations). After operation, patients underwent urography with intravenous contrast, cystography for impermeability, anastomotic integrity and the lack of reflux. Evaluation of oncological and functional outcomes included clinical, laboratory and radiological diagnostic methods.

Results: long-term results of intestinal grafts showed the highest level of life’s quality after ileoureteroplastic, the lowest level – after Reddy’s method of bladder’s plastic.

Conclusion: postoperative results of intestinal segments at reconstructive plastic operations on the urinary tract analyzed and assessed.