Hypopotassemia Following Bilateral Ureterosigmoidostomy

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Abstract
BILATERAL ureterosigmoidostomy is frequently a concomitant of present-day urological surgery. The basic indication for this procedure is obstruction, present or anticipated, of the lower urinary tract, and most often is found in instances of tumor resection. Urologic complications and sequelae of ureterosigmoidostomy include fecal urinary fistulas and ascending urinary-tract infections with pyelonephritis and hydronephrosis.1 Even when adequate urinary drainage is maintained, further complications may still ensue. Various insidious disturbances in electrolyte balance may appear.2 A series of 141 cases of ureterosigmoidostomy was reported by Ferris and Odel3; 79 per cent of these developed varying degrees of hyperchloremic acidosis and . . .