[A new technic of continent urinary diversion: preliminary results].
This paper presents the results of a series of 10 continent urinary valves performed in the urology department of Ibnou-Rochd hospital in Casablanca according to an original technique between 1991 and 1993. These 10 patients (6 men and 4 women) suffered from various diseases of the lower urinary tract: 4 bladder tumrous, 3 complex vesicovaginal fistulae, two of which were associated with a rectovaginal fistula, one bladder exstrophy, one neurogenic bladder and one extensive urethral stricture. The authors describe the surgical technique and the postoperative course. A detubularized ileal graft was used to create a monoblock valve-reservoir. An effective antireflux system protects the upper urinary tract and continence is ensured by a robust hydraulic valve whose flexibility and patency allow very easy self-catheterization. The physical and urodynamic characteristics of this new diversion make it a solid, perfectly continent solution providing undeniable comfort for the patient. Although based on a limited series, these results illustrate the advantages of this new continent detubularized ileal graft diversion.
Meziane
F
F
Service d'Urologie, CHU Ibn-Rochd, Casablanca, Maroc.
Diouri
M
M
Larabi
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D001746:Bladder Exstrophy / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D012006:Rectovaginal Fistula / Q000601:surgery; D014525:Urethral Stricture / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D014546:Urinary Catheterization; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000379:methods*; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology; D014719:Vesicovaginal Fistula / Q000601:surgery
Une nouvelle technique de dérivation urinaire continente: résultats préliminaires.