Undiversion after previous cystectomy and Bricker derivation.

Abstract

A 45-year-old man operated in 1989 for bladder cancer by a Bricker diversion was suffering from intractable eczema and stoma problems. A undiversion was unavoidable. A 'Camey type' diversion having been performed, a simple ligation of the membranoprostatic urethra seemed impossible but was in fact surprisingly easy. After introduction of a Béniqué sound, a simple opening in a kind of diaphragm at the proximal end of the ligated urethra made it possible to anastomose the created pouch. The patient remained continent during day- and nighttime.