Construction of a low pressure reservoir and achievement of continence after "diversion" and in end stage vesical dysfunction.
Creation of a continent low pressure urinary reservoir was attempted in 33 patients: 11 with a supravesical diversion, 6 with a vesicostomy, 9 treated by catheter drainage and 7 with end stage bladder disease. The common problems were poor urine storage associated with bladder fibrosis, defunctionalization and decentralization or spinal cord injury coupled with a poorly functional urethral continence mechanism. The over-all outcome at a mean of 21 months (range 4 months to 11 years) was excellent in terms of upper tract function, reservoir capability and continence.
D000328:Adult; D005260:Female; D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery; D007082:Ileum / Q000601:surgery; D008297:Male; D012648:Self Care; D001743:Urinary Bladder / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*