A simplified procedure for creating a urinary conduit in patients with a colostomy

A simplified procedure for constructing a urinary conduit is described in p atients who have already undergone fecal diversion with colostomy. Two pati ents are described in whom this method was utilized to create a urinary con duit without the need for an intestinal anastomosis. This procedure is espe cially suited to high-risk surgical candidates with comorbid medical condit ions, multiple previous surgical procedures or prior pelvic radiotherapy in whom avoiding an intestinal anastomosis can significantly reduce postopera tive morbidity. This simplified method for creating a urinary conduit is de scribed in two patients and discussed as related to alternative methods for establishing supravesicular urinary diversion.