URINARY UNDIVERSION - USE IN MANAGEMENT OF RADIATION-INDUCED BLADDER FISTULA

Urinary undiversion was attempted and successful in two patients. The indication for prior diversion in both patients was extensive bladder fistula following pelvic radiation for cancer of the uterine cervix. Function of the urinary system has been essentially normal in both patients during the follow-up period of 6 months to 2.5 years. Review of the literature relevant to reconstruction of the urinary system in adults following previous ileal conduit formation revealed very scanty data, particularly after pelvic radiation. Reported methods are described. Although the experience is limited, ileocystostomy with undiversion of the ileal conduit after pelvic radiation appears not only feasible, but very rewarding for selected highly motivated patients. © 1979.