[Urodynamics of enterocystoplasty and continent diversions].
OBJECTIVE
To describe the filling and voiding urinary dynamics of enterocystoplasty and continent urinary diversion.


METHODS
The different behaviour of the tubularized and detubularized intestinal segments and the different sphincteric lesions related with various surgical techniques are described. The possible causes of incontinence are discussed and the literature briefly reviewed.


CONCLUSIONS
We underscore the importance of detubularizing the intestinal segment and preserving the sphincteric system as far as possible. Furthermore, voiding using abdominal pressure may cause post void residual urine, dilatation of the neobladder and renal changes. If warranted, self-catheterization should be performed.
López López
C
C
Servicio de Urología, Hospital Universitario San Juan, Alicante, España.
Gómez Ruiz
J J
JJ
Quílez Fenoll
J M
JM
Romero Maroto
J
J
D006801:Humans; D007422:Intestines / Q000637:transplantation; D001745:Urinary Bladder Diseases / Q000503:physiopathology* / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics