Ureterosigmoid anastomosis is a surgical procedure in which the ureter (the part that carries urine from the kidneys to the bladder) is connected to the sigmoid colon (the S-shaped part of the large intestine). This allows for more efficient drainage of urine from the kidneys to the bladder, as well as improved bowel function by increasing the volume of bowel contents and making them more evenly distributed.
Ureterosigmoid anastomosis can be used for various diseases of the urinary system, such as reflux of urinary stones, pyelonephritis (inflammation of the kidneys), nephrosclerosis (replacement of normal kidney tissue with scar tissue) and others. In these cases, surgery can help reduce the number of relapses and complications associated with the disease, as well as improve the patient's quality of life.
To perform ureterosigmoid anastomosis, a special instrument is used - a ureterocystostomy, which is inserted into the ureter and connected to a catheter installed in the sigmoid colon. The surgeon then creates an anastomosis between the ureter and the sigmoid colon using special stitching devices and threads. After completion of the operation, the patient undergoes a course of rehabilitation, including antibacterial therapy and physical therapy.
In general, ureterosigmoid anastomosis is an effective method for treating diseases of the urinary system and can significantly improve the quality of life of patients. However, like any surgical procedure, it has its own risks and complications, so a thorough examination and consultation with a specialist is necessary before undergoing the operation.
A ureterocele is a pathological condition in which the bladder wall becomes dilated and stretched due to dilatation of the rectum. In this case, there is an increase in the volume of the bladder and a descent of its bottom into the pelvic cavity. The most common cause of ureterocele development is a reduction in the internal opening of the ureter to a size of less than 6 mm. In this case, the outflow of urine from the ureters becomes difficult, which leads to increased intra-abdominal pressure and swelling of the bladder wall. The causes of the development of the disease also include: compression of the ureters by a tumor, the presence of diverticula, dystopia of the ureters.
Treatment methods: In a hospital setting, the issue of surgical treatment is considered. As a rule, all enlarged sections are removed. After surgery, preference is given to plastic surgery. This is due to the fact that stones cannot always be removed during surgery. If they are close to the entrance to the bladder, they may be impossible to reach. In many cases, after surgery, drainage is required; it is removed the next day. It is recommended to wear an elastic bandage until the end of your hospital stay.