Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation.
BACKGROUND
The creation of a continent transverse colon pouch for patients who had previously received radiation therapy for cervical cancer was attempted.


METHODS
Three patients underwent construction of a continent urinary reservoir. Approximately 30 cm of a transverse colon segment was isolated for constructing a pouch. A reconfigured colon segment was used in two cases as a continent valve and the appendix was used in one case. Both ureters were implanted submucosally into the pouch in two patients and a reconfigured colon was also used to reconstruct a defect of the ureter in one patient.


RESULTS
All patients could catheterize the pouch easily via the cutaneous stoma without incontinence. No complications were noted.


CONCLUSIONS
In the event that a urinary diversion is necessary for a patient who has previously had radiation therapy, the transverse colon pouch can be a useful method to improve the quality of life. In addition, versatility of the reconfigured colon segment enables the colon pouch to be adapted to adverse clinical situations.
Kato
Haruaki
H
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan. kart@hsp.md.shishu-u.ac.jp
Igawa
Yasuhiko
Y
Komiyama
Itsuki
I
Nishizawa
Osamu
O
D000328:Adult; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010388:Pelvis / Q000528:radiation effects*; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy