回盲部膀胱形成術と腎盂膀胱吻合を行った尿路結核後遺症

ILEOCECAL CYSTOPLASTY WITH A PYELOVESICAL ANASTOMOSIS IN A PATIENT WITH URINARY TRACT TUBERCULOSIS

　52歳，女性．切迫性尿失禁と頻尿を主訴に来院．尿路結核後遺症のため，右尿管は全長にわたる多発性狭窄を，左尿管は中部以下に多発性狭窄を認め，膀胱は著明に萎縮していた．右腎部分切除，右腎を右腸骨窩へ移植，回盲部膀胱拡大術（右腎盂・拡大膀胱端側吻合，左尿管・拡大膀胱端々吻合）を施行した．術後5年結過した現在，頻尿，切迫性尿失禁は共に消失しており，両側水腎は改善を示した．

A 52-year-old woman complaining of frequent urination and urge incontinence, with post-tuberculous multiple stricture of the both ureters and a markedly contracted bladder underwent a cecoileocystoplasty with a pyelovesical anastomosis of the right partially excised and autotransplanted kidney. She has become free of urinary symptoms and her renal function has been kept in an improved level during a postoperative period of 5 years. This procedure can be used in patients with multiple ureteral stricture combined with a contracted bladder.