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Inicio Radiología Derivaciones urinarias: anatomía radiológica y complicaciones*
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Vol. 45. Issue 2.
Pages 87-94 (January 2003)
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Vol. 45. Issue 2.
Pages 87-94 (January 2003)
DOI: 10.1016/S0033-8338(03)77862-X
Derivaciones urinarias: anatomía radiológica y complicaciones*
Urinary Derivations: Radiological Anatomy and Complications
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Agustín Rodríguez**,1
Corresponding author
asanchez191agusrb31@hotmail.com

AGUSTÍN RODRÍGUEZ. Urb. Parque Roma A-4 2.oB. 50010 Zaragoza.
, Irene Escartín**, Carmen Zapater**, Gema Riazuelo**, Rosa Cañón**, Susana Solanas**, Ángel García de Jalón*
* Servicio de Urología. Hospital Universitario Miguel Servet. Zaragoza.
** Servicio de Radiodiagnóstico Hospital Universitario Miguel Servet. Zaragoza.
Article information

La cistectomía con derivación de la vía urinaria es un procedimiento común en el tratamiento del carcinoma de células transicionales de ve-jiga. Presentamos los hallazgos radiológicos (ecografía, tomografía computarizada [TC] y urografía) de las técnicas quirúrgicas de recons-trucción más habitualmente realizadas por el Servicio de Urología de nuestro hospital, así como de algunas de las complicaciones presen-tadas.

Dichas técnicas se dividen básicamente en dos tipos: derivaciones no continentes, de las que destacamos la técnica de Bricker-Wallace II y las continentes, que a su vez pueden ser ortotópicas, con anastomosis a la uretra (técnica de Hautmann) y heterotópicas, con salida de orina por el ano (técnica de Mainz II) o autocateterizables (técnica de Mainz I).

Palabras clave:
Cistectomía
Derivación urinariaCarcinoma vejiga

Cystectomy with urine derivation is a common procedure in the treatment of transition cell carcinoma of the bladder. We present radiological findings (ultrasound scan, computerized tomography [CT] and urography) from the surgical reconstruction techniques most often performed by the Urology staff of our hospital, as well as some of the complications which occur.

The above-mentioned techniques are basically divided into two types: incontinent derivations, of which we highlight the Bricker-Walla-ce technique, and continent ones. The latter can either be orthotopic, with urethral anastomosis (Hauptmann’s technique), or heterotopic, with urine excretion through the anus (Mainz II technique) or employing a self-catheter (Mainz I technique).

Key words:
Cystectomy
Urine derivation
Bladder

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