Abstract
Ileal loop replacement is often the only possible treatment of extensive bilharziasis of the ureter. Experience with 5 such cases is presented and the special problems arising from the nature and extent of the lesion are discussed. In bilateral cases, attempts should be made to preserve as much renal tissue as possible. Non-functioning kidneys in 3 cases were not removed and a degree of function was restored following the relief of obstruction by also connecting these kidneys to the ileal loop.