[Clinical study of detenia cecal-ascending colon continent cutaneous urinary reservoir].
OBJECTIVE
To construct a good continent urinary diversion which is easy to be performed and has a low incidence of complications.


METHODS
26 cases of bladder cancer were given radical cystectomy before the cecal-ascending colon was excluded and 15-20 cm of the cecal-ascending colon was isolated. The colon teniae were then incised at the interval of 0.5-1.0 cm to construct the detenia cecal-ascending colon continent urinary diversion open to the umbilicus.


RESULTS
All the patients were followed up for 21.1 +/- 10.1 months. Reliable continence was achieved in all with a low incidence of complications. The capacity of the reservoirs reached 350-600 ml 6 month after operation. Self catherizations were carried out every 3 to 6 hours, Urodynamic data showed a mean maximum filling pressure of 58.7 +/- 24.5 cmH2O, and a mean maximum urethral (efferent) closure pressure of 104.3 +/- 33.8 cmH2O.


CONCLUSIONS
Detenia cecal-ascending colon continent urinary diversion is an ideal method.
Zhou
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X
Department of Urology, Third Affiliated Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou 510630, China.
Mei
H
H
Gao
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D000328:Adult; D000368:Aged; D003106:Colon / Q000601:surgery / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics / Q000502:physiology