[Ureterotransversopyelostomy and unilateral nephrostomy as supravesical urinary diversion in vesico-vagino-rectal fistula and incurable bladder cancers].

The use of a transversal uretero-pyelostomy as an alternative to other forms of supravesical urinary diversion is described in a patient suffering from incurable bladder cancer and in another patient with combined bladder-vaginal-rectal fistula, colostomy and radiogenic contracted urinary bladder. The operation is less severe to the patient and a transperitoneal or a retroperitoneal approach is possible. This type of urinary diversion should be included in the operative armamentarium of the urologist in selected cases because of the quality of patient's life is improved markedly.