A new procedure for cystectomy in cancer of the bladder (and related diseases), which seems to be superior to all others proposed up to now, is presented. It consists of: (a) radical cystectomy; (b) annulment of one of the kidneys by tying tis ureter; and (c) implantation of the remaining ureter in the skin or in the rectum. The procedure is based on the polyuria with which the single kidney is forced to function and which effectively impairs the deposition of urinary salts in the catheter and in the pyelorenal cavities, the infection of urine and, when applicable, the resorption of urinary salts by the rectum. 13 cases treated in this way are presented: 11 with the ureter implanted in the skin and two with the ureter implanted in the rectum; the normal aspect of the defecated urine – when in feces absence – is emphasized.

Keywords:
Kidney annulment, bladder cancer cystectomy, Kidney annulment, cystectomy, Ureterorectal unilateral anastomosis, kidney annulment, Ureterocutaneous unilateral anas tomosis, kidney annulment, Bladder cancer, ureteral ligature
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© 1973 S. Karger AG, Basel
1973
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