Muhammad Akram Malik, Safdar H Javed Sial, Zahid Iqbal.
Cystectomy and urterosigmoidostomy.
Professional Med J Jan ;11(4):431-6.

To audit experience of cystectomy and ureterosigmoidostomy as treatment of carcinoma bladder. (2) To assess the complications of ureterosigmoidostomy. (3) To assess the quality of life after the procedure. Design: Prospective. Setting: Department of Urology Allied Hospital Faisalabad. Period: December 2000 to January 2004. Material & Methods: Twenty two cases were included in the study. All patients had muscle invasive transitional cell carcinoma, demonstrated histopathologically by TUR biopsies. CT abdomen & pelvis and sphincter assessment was performed besides other routine investigations. All patents were treated by cystectomy and ureterosigmoidostomy Prophylactic alkalinization of urine was done by Na citrate tablets. Results: All patients presented with total painless haematuria. 19 patients were male and 03 females. Age ranged from 38-75 years. 18 (82%) had T2 and 04 (18%) had T3, transitional cell carcinoma. Two patients had rectal injury. One repaired Primarily and 2 patient was managed by colostomy and delayed repair. nd Immediate post-operative complications were urine leak wound (13.6%), wound infections in 8 patients (36%), pyelonephritis in 04 patients (18%). No patients suffered metabolic acidosis. 03(13%) patients expired. Conclusion: We consider that cystectomy & ureterosigmoidostomy is the right option for patients with localized carcinoma urinary bladder.

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