[Double-barreled wet colostomy: analysis of a urinary diversion].
We analyse our experience in performing the wet colostomy, also called urocolostomy and present seven cases treated at our hospital in which this was used. We present: a) three women, one underwent an urocolostomy as a result of a myelomeningocele with urinary and fecal incontinence, another because of a pelvic malignancy, and the third after developing a post radiotherapy cysto-proctitis; b) four men, one underwent this surgical procedure as a result of a traumatic paraplegia with multiple urinary fistulae and neurogenic bladder, the other three were secondary to pelvic malignancies (two bladder and one sigmoid malignacies). The outcome was fine in all cases with no pyelonephritis or metabolic imbalances; in all cases it represented a good option for these patients.
Servicio de Urología, Hospital Juan Canalejo, La Coruña.
A
A
Blanco Díez
E
E
Fernández Rosado
L
L
Alvarez Castelo
J
J
Sánchez Rodríguez-Losada
V
V
Chantada Abal
S
S
Novás Castro
A
A
Barbagelata López
J
J
Serrano Barrientos
M
M
González Martín
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery; D003125:Colostomy / Q000379:methods*; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D008297:Male; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery; D011349:Proctitis / Q000209:etiology / Q000601:surgery; D011471:Prostatic Neoplasms / Q000601:surgery; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery; D013119:Spinal Cord Injuries / Q000150:complications; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery; D014571:Urologic Neoplasms / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery