THE RIGHT COLON AS CONTINENT URINARY RESERVOIR AND BLADDER SUBSTITUTELUND EXPERIENCE

The detubularized right colonic segment is used as urinary reservoir i n continent diversion and as bladder substitute. 21 patients underwent continent urinary diversion and 22 male patients got a bladder substi tute. In 4 of the patients with continent urinary diversion reoperatio n was necessary (percutaneous nephrostomy, wound revision, revision of the nipple). 4 of the 22 patients with bladder substitute had complic ations, that is small-bowel obstruction, wound dehiscence and Candida septicemia. Except for 2 men with bladder substitute all patients achi eved continence. The use of the right colon as urinary reservoir does not endanger the function of the upper urinary tract more than urinary diversion by a conduit. The clinical results of these methods have be en excellent.