Experimental continent diversion.
Urinary diversion utilizing a continence-maintaining ileal valve has been performed in 12 canines. This procedure offers a simple surgical procedure and uses the diversion's internal fluid pressure to maintain continence. Of 12 canines with this continence-maintaining ileal valve, 11 remained continent at sacrifice. Operative complications were minimal and late complications occurred in 2 dogs. Histological evaluation of the diversionary tissues revealed slight changes in the mucosa of the ileal valve, with some flattening of the villi. This procedure may have a clinical role in urinary diversion for patients with pelvic malignancy or patients who need urinary diversion for other reasons.
Drago
J R
JR
Department of Surgery, College of Medicine, Ohio State University, Columbus 43210.
Nesbitt
J A
JA
McDowell
G
G
Cirulli
C
C
Geraniotis
E
E
Smith
J
J
D000818:Animals; D004285:Dogs; D005260:Female; D007081:Ileostomy / Q000379:methods; D007082:Ileum / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000628:therapy*