Ureteroileourethrostomy has been abandoned at our institution for replacement of the bladder because: it compromised the cancer operation and upper urinary tract deterioration forced conversion to ureteroileocutaneous diversion in 2 of 3 patients. The ureteroileourethrostomy may heve future application if all of the prostate is removed when cyctectomy is necessary for bladder cancer. The urinary retention can be satisfactorily managed with clean, intermittent self catheterization. The hyperchloremic metabolic acidosis can be satisfactorily managed by reducing residual urine and potassium citrate administration. The upper urinary tract changes can be partially or wholely prevented with antirefluxing ureteroileal anastomoses.
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