[Clinical experience of tapered distal ileum for construction of a continent colonic urinary reservoir].
Construction of continent colonic urinary reservoir was performed in 44 patients after exenteration for invasive bladder carcinoma or various gynecologic tumors. The distal ileum was tapered over a 14 French red rubber catheter. The ileocecal valve was reinforced with three circumferential silk sutures in a purse-string fashion. Full continence was obtained in all patients (100%). A non-tunneled, non-refluxing ureterocolonic anastomosis was performed in all 88 ureters. No obstruction or reflux was observed in 84 ureters (95%). There were 7 early postoperative complications and 3 of them required reoperation (pelvic abscess 1, urinary leak from ureterocolonic anastomosis 1, pouch-vaginal fistula 1). Moreover, there were 7 late complications and 3 of them required reoperation (stomal stenosis 1, parastomal hernia 2). These results suggest that this method is a safe, simple and useful one for permanent urinary diversion.
Tokuda
N
N
Bejany
D E
DE
Penalver
M A
MA
Suarez
G M
GM
Politano
V A
VA
D000038:Abscess; D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007082:Ileum; D007674:Kidney Diseases; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014513:Ureter / Q000503:physiopathology; D014547:Urinary Diversion / Q000379:methods*; D014563:Urodynamics