Bowel function after urinary diversion.
Removal of bowel segments for the purposes of urinary diversion may have a significant effect on bowel function. The remaining bowel may not be able to fulfill its normal role, resulting in not only malabsorption syndromes, but also dysfunctional defecation. Provided, however, care is taken in selecting patients and the bowel segments for such procedures and follow-up is vigilant, complications should be minimal. There appears to be a significant risk of developing symptoms of increased bowel frequency following urinary diversion and reconstruction. Patients need to be counselled regarding this prior to surgery, however, further data needs to be collected to accurately quantify the risk and the effect it has on quality of life.
Riddick
Antony C P
AC
Department of Urology, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK.
Turner
William H
WH
Mills
Robert D
RD
D003672:Defecation; D006801:Humans; D007408:Intestinal Absorption; D007422:Intestines / Q000503:physiopathology / Q000601:surgery; D008286:Malabsorption Syndromes / Q000209:etiology* / Q000503:physiopathology; D013270:Stomach / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*