Ileal loop ureteroileostomy in patients with neurogenic bladder. Personal experience with 54 patients.
(1) In a six year experience with ileal loops in patients with neurogenic bladder, 49% of the patients were paralyzed, 30% had multiple sclerosis, and 91% had recurrent or persistent urinary tract infection. Reflux, incontinence, retention, and bladder calculi were additional indications for supravesical urinary diversions. (2) All loops were performed in a similar manner, most of them placed retroperitoneally, and a vigorous program of postoperative care was followed. There were no postoperative deaths, and a moderate number of complications occurred in 51.8% of the patients. (3) The participation of the enterostomal therapist is the preparation of the patient and in the immediate and long-term stomal care has been invaluable and is strongly recommended.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D007081:Ileostomy; D007674:Kidney Diseases / Q000150:complications; D008297:Male; D008875:Middle Aged; D007507:Therapeutic Irrigation; D014513:Ureter / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000150:complications
D000900:Anti-Bacterial Agents