Management of urinary and bowel complications after ileal conduit diversion.
Serious urinary and bowel complications after ileal conduit diversion are associated with significant morbidity and mortality rates. We reviewed 9 patients treated at our institution during the last 5 years for sequelae after ileal conduit diversion for bladder cancer. Of these patients 8 are well and 1 died postoperatively of a myocardial infarction. In all, 33 operations were required to treat complications after initial diversion. A variety of surgical procedures, including anastomotic revision, ileal ureter, stomal revision, transverse colon conduit and nephrectomy, was used to treat urinary complications. A treatment outline emphasizing an initial conservative approach, the importance of nutritional support and the appropriate options for reconstruction is presented.
D000038:Abscess / Q000209:etiology; D000368:Aged; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula / Q000209:etiology; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D011183:Postoperative Complications / Q000209:etiology; D014515:Ureteral Diseases / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000628:therapy; D014547:Urinary Diversion / Q000009:adverse effects*; D014548:Urinary Fistula / Q000209:etiology