Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1991 December; 84(12): 709–713.
PMCID: PMC1295515

Anterior pelvic reconstruction with ileum after cancer treatment.


Ileum has been used to reconstruct the lower urinary tract in 15 patients (10 women, five men) after treatment for bladder or gynaecological cancer. Seven patients had previously received radical pelvic irradiation. Four methods were used: group 1 (five patients): bladder patch after partial cystectomy or bladder augmentation after clam cystotomy for bladder contracture; group 2 (four patients): bladder replacement after subtotal (supratrigonal) cystectomy; group 3 (two patients): ureteric replacement for lower ureteric obstruction or fistula, and group 4 (four patients): complete replacement of bladder and lower ureters after anterior pelvic exenteration, with creation of neovagina from caecum in the two female patients. Review of the results indicates that ileum provides a versatile and safe material for anterior pelvic reconstruction in cancer patients even after previous pelvic irradiation.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.8M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Jones CR, Woodhouse CR, Hendry WF. Urological problems following treatment of carcinoma of the cervix. Br J Urol. 1984 Dec;56(6):609–613. [PubMed]
  • Shepherd JH, Crowther ME. Complications of gynaecological cancer surgery: a review. J R Soc Med. 1986 May;79(5):289–293. [PMC free article] [PubMed]
  • Hendry WF. Management of urinary complications of recurrent pelvic malignancy in gynaecological practice. J R Soc Med. 1978 Jul;71(7):516–519. [PMC free article] [PubMed]
  • Hendry WF. Morbidity and mortality of radical cystectomy (1971-78 and 1978-85). J R Soc Med. 1986 Jul;79(7):395–400. [PMC free article] [PubMed]
  • Jones MA, Breckman B, Hendry WF. Life with an ileal conduit: results of questionnaire surveys of patients and urological surgeons. Br J Urol. 1980 Feb;52(1):21–25. [PubMed]
  • GOODWIN WE, WINTER CC, BARKER WF. Cup-patch technique of ileocystoplasty for bladder enlargement or partial substitution. Surg Gynecol Obstet. 1959 Feb;108(2):240–244. [PubMed]
  • Homsy YL, Reid EC. Ileocystoplasty. Urology. 1974 Aug;4(2):135–139. [PubMed]
  • Smith RB, van Cangh P, Skinner DG, Kaufman JJ, Goodwin WE. Augmentation enterocystoplasty: a critical review. J Urol. 1977 Jul;118(1 Pt 1):35–39. [PubMed]
  • Hendren WH. Reoperative ureteral reimplantation: management of the difficult case. J Pediatr Surg. 1980 Dec;15(6):770–786. [PubMed]
  • Skinner DG, Boyd SD, Lieskovsky G, Bennett C, Hopwood B. Lower urinary tract reconstruction following cystectomy: experience and results in 126 patients using the Kock ileal reservoir with bilateral ureteroileal urethrostomy. J Urol. 1991 Sep;146(3):756–760. [PubMed]
  • Turner-Warwick R, Kirby RS. The construction and reconstruction of the vagina with the colocecum. Surg Gynecol Obstet. 1990 Feb;170(2):132–136. [PubMed]
  • Bramble FJ. The treatment of adult enuresis and urge incontinence by enterocystoplasty. Br J Urol. 1982 Dec;54(6):693–696. [PubMed]
  • Cheng C, Hendry WF, Kirby RS, Whitfield HN. Detubularisation in cystoplasty: clinical review. Br J Urol. 1991 Mar;67(3):303–307. [PubMed]
  • Kock NG, Nilson AE, Nilsson LO, Norlén LJ, Philipson BM. Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol. 1982 Sep;128(3):469–475. [PubMed]
  • Kock NG, Ghoneim MA, Lycke KG, Mahran MR. Replacement of the bladder by the urethral Kock pouch: functional results, urodynamics and radiological features. J Urol. 1989 May;141(5):1111–1116. [PubMed]
  • Perry CP, Massey FM, Moore TN, Erickson CA. Treatment of irradiation injury to the ureter by ileal substitution. Obstet Gynecol. 1975 Nov;46(5):517–522. [PubMed]
  • Boxer RJ, Fritzsche P, Skinner DG, Kaufman JJ, Belt E, Smith RB, Goodwin WE. Replacement of the ureter by small intestine: clinical application and results of the ileal ureter in 89 patients. J Urol. 1979 Jun;121(6):728–731. [PubMed]
  • Reddy PK, Lange PH, Fraley EE. Bladder replacement after cystoprostatectomy: efforts to achieve total continence. J Urol. 1987 Sep;138(3):495–499. [PubMed]
  • Hautmann RE, Egghart G, Frohneberg D, Miller K. The ileal neobladder. J Urol. 1988 Jan;139(1):39–42. [PubMed]
  • Boccon-Gibod L, Leleu C, Peyret C, Conquy S. Entéro-cystoplastie de substitution continente par poche iléale détubulée à basse pression après prostatocystectomie radicale. Ann Urol (Paris) 1988;22(1):16–20. [PubMed]
  • Thüroff JW, Alken P, Engelmann U, Riedmiller H, Jacobi GH, Hohenfellner R. The Mainz pouch (mixed augmentation ileum 'n zecum) for bladder augmentation and continent urinary diversion. Eur Urol. 1985;11(3):152–160. [PubMed]
  • Marshall FF. Creation of an ileocolic bladder after cystectomy. J Urol. 1988 Jun;139(6):1264–1268. [PubMed]
  • Nurse DE, Mundy AR. Metabolic complications of cystoplasty. Br J Urol. 1989 Feb;63(2):165–170. [PubMed]
  • Nurse DE, Mundy AR. Assessment of the malignant potential of cystoplasty. Br J Urol. 1989 Nov;64(5):489–492. [PubMed]
  • Skinner DG, Daniels JR, Russell CA, Lieskovsky G, Boyd SD, Nichols P, Kern W, Sakamoto J, Krailo M, Groshen S. The role of adjuvant chemotherapy following cystectomy for invasive bladder cancer: a prospective comparative trial. J Urol. 1991 Mar;145(3):459–467. [PubMed]
  • Wrigley JV, Prem KA, Fraley EE. Pelvic exenteration: complications of urinary diversion. J Urol. 1976 Oct;116(4):428–430. [PubMed]
  • Fallon B, Loening S, Hawtrey CE, Lifshitz SG, Buchsbaum HJ. Urologic complications of pelvic exenteration for gynecologic malignancy. J Urol. 1979 Aug;122(2):158–159. [PubMed]
  • Ashken MH. Stomas continent and incontinent. Br J Urol. 1987 Mar;59(3):203–207. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press