ABSTRACT
The first urinary diversion using the anus for continence was published over 140 years ago by Simon.1 Since that first description, more than 60 modifications of ureterosigmoidostomy have been published.2 It was the method of choice for urinary diversion until the late 1950s, when electrolyte imbalances and secondary malignancies arising at the ureteral implantation site were observed.3,4 However, secondary malignancies were later also reported in other forms of urinary diversion.5 The develstents, antibiotics and alkalinizing drugs served in solving opment of new absorbable suture material, modern ureteric many of the traditional shortcomings of ureterosigmoidostomy and have rekindled the interest in this technique. Critics of ureterosigmoidostomy tend to quote publications dealing with complications in patients operated on before the 1950s.6
