Abstract
In patients with colorectal cancer which invades the urinary bladder, urinary diversion such as ileal conduit or ureterocutaneostomy has been employed after total resection of the urinary bladder. Recently we successfully performed an ileocecal cystoplasty after total resection of the urinary bladder with subtotal cystectomy to conserve the neck of the urinary bladder in a patient with colonic cancer invading the upper portion of the bladder, for which physiological urination through the urethra could be kept. During two years after the operation, the patient suffered from no pyelonephritis. Urinalysis revealed slight pyouria, but no bacteriurea was demonstrated. Drop infusion pyelography revealed no hydronephrosis nor hychoroureter. Retrogarade vesicography showed no reflux to the ileum beyond the ileocecal valve. The ileocecal valve has been effective against the urinary reflux. Ileocecal cystoplasty is an easy and safe operative procedure with less post operative complications; enables the patient to urinate through the urethra; and offers better quality of life than that by urinary diversion. Ileocecal cystoplasty may be recommended in patients with colorectal cancer which invades the upper portion of urinary bladder.
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