[Indications and results of ileal neobladder during the development of cervix uteri cancer. Study of 32 cases].

32 uretero-ileoplasties were carried out during the course of carcinoma of the uterine cervix, where therapeutic complications required an urinary by-pass operation. A trans-ileal by-pass to the skin ensured better renal function and comfort than that provided by a skin ureterostomy. The operation carried out in 20 cases after curative radiotherapy,.remains possible with a reasonably low risk: 2 deaths. However, survival depends on the cancer. The operation is legitimate and advisable in urinary lesions due to treatment, but one wonders whether the operation is justified in cases where the carcinoma is inoperable. Present means of resuscitation made this surgery acceptable as far as the immediate risk is concerned and survival is undoubtedly comfortable. On may thus carry out again radical operations provided the lesions are limited and there is no fibropelvis after high dose cobalt-radiotherapy. But purely palliative trans-ileal urinary by-pass operations remain debatable. Their indications depend on the general condition of the patient, the desire of the surgeon to operate and the functional result of these palliative operations should not be lost by carrying out too radical an operation which will shorten survival time.