Role of continent suprapubic diversion in pelvic cancer.
Seventeen patients with either current (n = 14) or previous (n = 3) pelvic malignant disease underwent continent urinary diversion using the Mitrofanoff principle in 16 and a Kock pouch in 1. Eight patients had bladder carcinoma, 6 had gynaecological malignancy, 2 had rectal cancers and 1 had a squamous cell carcinoma of the perineum. Fourteen underwent synchronous exenterative surgery and continent suprapubic diversion; plastic reconstructive procedures were required in 4. There were 2 post-operative deaths and 5 patients have developed further tumour recurrence. Continence was satisfactory in all patients with a median interval of intermittent self-catheterisation of 4 h.
Gelister
J S
JS
Department of Urology, Royal Marsden Hospital, London.
Woodhouse
C R
CR
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery*; D011379:Prognosis; D012004:Rectal Neoplasms / Q000601:surgery; D014523:Urethral Neoplasms / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000517:prevention & control; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014625:Vaginal Neoplasms / Q000601:surgery