Utilization of ileal conduit in construction of continent urinary reservoir.
Two patients with ileal conduits underwent planned urinary undiversion; in both patients, the previously constructed ileal conduit was utilized to augment the continent urinary reservoir. Both patients are totally continent with stable upper urinary tracts; neither individual suffers from diarrhea or intestinal absorption abnormalities. This variation in the construction of the continent urinary reservoir allows for the usage of less terminal ileum, and as a result, the risk of intractable diarrhea as well as folate and vitamin B12 malabsorption should be diminished. The criteria that must be met to utilize the ileal conduit in the construction of the continent urinary reservoir include: (1) adequate remaining conduit length after mobilization, and (2) a normal-appearing conduit with sufficient mesenteric length after mobilization.
Oesterling
J E
JE
Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland.
Gearhart
J P
JP
D000293:Adolescent; D000328:Adult; D003125:Colostomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods; D007082:Ileum / Q000601:surgery*; D012086:Reoperation; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000517:prevention & control