Complications of the Heitz-Boyer urinary diversion: case report of late development of malignancy

J Urol. 1991 Jul;146(1):159-61. doi: 10.1016/s0022-5347(17)37741-8.

Abstract

We report on 3 patients with bladder exstrophy followed for more than 15 years after having undergone Heitz-Boyer urinary diversion. One patient had adenocarcinoma at the ureterocolonic anastomoses 16 years after diversion. To our knowledge this is the first reported case of a malignancy developing after a Heitz-Boyer procedure. The other 2 patients had significant problems with urinary incontinence and recurrent urinary tract infections. Initial success with this form of urinary diversion can be followed by significant long-term complications.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / etiology*
  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Adolescent
  • Adult
  • Bladder Exstrophy / surgery
  • Cecum / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Ileum / surgery
  • Male
  • Postoperative Complications / etiology*
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery
  • Rectal Neoplasms / etiology*
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / surgery
  • Rectum / surgery
  • Recurrence
  • Reoperation
  • Urinary Diversion / adverse effects*
  • Urinary Diversion / methods
  • Urinary Incontinence / etiology
  • Urinary Incontinence / pathology
  • Urinary Incontinence / surgery
  • Urinary Tract Infections / etiology
  • Urinary Tract Infections / pathology
  • Urinary Tract Infections / surgery