الفهرس 
SURGICAL PRINCIPLES OF NEOBLADDEROnly 14 pages are availabe for public view
Abstract
T
he construction of antireflux method for ureteroileal anastomosis in a low-pressure pouch is debatable and benefits should be weighted by probable morbidity. The perfect technique should be technically simple with no synthetic materials or very long segment of bowel.
Split-cuff technique, Le Duc sulcus, submucosal tunneling and Kock procedure are accompanied with ureteric obstruction with resultant upper tract deterioration. The incidence is 3-5.3% in hemi-Kock pouch. In addition, studies of Le Duc mucosal sulcus showed widely varied results in regard to stricture and reflux rates and this variation was due to irregular creeping of the bowel mucosa over the embedded ureters.
In 2001, Abol-Enein et al. conducted a study on complications of the subserous lined extramural tunnel for ureteroileal anastomosis. Pouch was W-shaped, and each ureter has its own tunnel. Authors reported that the rate of renal affection due to ureteroileal stricture is 3.8%.
The aim of our study was to follow up results of a technique that combines the subserous lined extramural tunneled with Wallace technique in U-shaped pouch.
We concluded that combining serous-lined extramural tunnel and Wallace techniques is an effective technique and has a comparable result to the other antirefluxing techniques in terms of ureteroileal stricture, reflux and acute pyelonephritis.