[Supralevator pelvic exenteration with simultaneous bowel and urinary reconstruction. Two case reports].
Two male patients underwent supralevator pelvic exenteration, preserving their normal voiding and evacuating function. Case 1 was a 19-year-old man with pineal region tumor, and a metastatic lesion in the bottom of the rectovesical pouch, possibly through the ventriculo-peritoneal shunt. Following supralevator pelvic exenteration, the construction of double pouches, a colonic J pouch and Mainz pouch to the urethra, were performed. Case 2 was a 39-year-old man with bulky retrovesical tumor. He underwent supralevator pelvic exenteration by sigmoid colo-proctostomy and U-pouch to the urethra. Both patients achieved continent except for urinary leakage at night and were able to defecate and urinate voluntarily. Urodynamic study revealed that the pressure in their urinary pouches was low.
Obara
K
K
Department of Urology, Niigata University, School of Medicine.
Nishiyama
T
T
Takeda
M
M
Takahashi
H
H
Kimura
M
M
Hatakeyama
K
K
D000328:Adult; D003672:Defecation; D006801:Humans; D007081:Ileostomy; D008297:Male; D010385:Pelvic Exenteration / Q000379:methods*; D012004:Rectal Neoplasms / Q000503:physiopathology / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000503:physiopathology / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014554:Urination; D014563:Urodynamics