Sigmoid adenocarcinoma following ureterosigmoidostomy: a known complication of a no longer known procedure

Advances in Urinary Diversion: From Cutaneous Ureterostomy to Orthotopic Neobladder Reconstruction—A Comprehensive Review

“…This enables patients to uphold continence and expel urine through the anus, eliminating the necessity for catheterizable abdominal stomas or cutaneous urinary diversion. Although the procedure has been widely used with excellent functional results reaching 80% of day and night continence, it has been abandoned due to the increased risk of metabolic abnormalities, infections, incontinence and secondary malignancy which may appear in up to 40-60% of patients [46,47]. In particular, the most common complications include hydronephrosis, pyelonephritis, anastomosis stenosis (often seen after Coffey's procedure), coloureteral reflux, electrolyte imbalance and osteomalacia [48,49].…”