[Surgical treatment of tuberculous pyelic retraction with an ileum segment. Review 16 years after the operation].

This paper starts with an introduction on the urodynamic, biochemical and histological aspects of the ileon in its function as urine conductor, reviewing the factors which justify its use in Urology to replace the tubercular ureter. There follows the clinical and technical description of a patient with pyelic retraction and multiple ureteral stenosis of phymic etiology, who underwent a complete replacement of the ureter and pelvis by a segment of the ileon. The authors then analyse the results obtained according to general controls in the urinary apparatus 16 years after the operation. They come to the conclusion that a well-fitted ileal segment is always preferable to a bad ureter, contributing to the exceptional nature of the mutilation of organs in urinary tuberculosis.