title: 3-Dimensional computerized tomography in follow-up of patients with urinary diversion.
abstract: BACKGROUND
  The aim of our study was to evaluate the usefulness of 3-dimensional computerized tomography (3D-CT) in routine follow-up of patients who had undergone radical cystectomy and different kinds of urinary diversions and compare it with conventional CT.
  
  
  METHODS
  Nineteen patients (18 men, 1 woman) who had undergone radical cystectomy and different kinds of urinary diversions with diagnosis of invasive bladder cancer were enrolled into the study. The mean age of the patients was 55.5 (46-69) years. For all patients, conventional CT was performed, followed by 3D reconstruction of these images.
  
  
  RESULTS
  Orthotopic ileal neobladder (Abol-Enein and Ghoneim procedure) was performed in 12, rectosigmoid pouch (Mainz pouch II) in 2 and ileal conduit in 5 patients. There were no pathological findings visible either on conventional CT or on 3D-CT, but the shape, configuration, and the relationships of the pouch with ureters, urethra and other adjacent organs were much better visualized on 3D-CT.
  
  
  CONCLUSIONS
  3D-CT did not have any advantages over conventional CT for showing pathological findings that were oncological origin, but as the anatomy of the lower urinary tract can be perfectly demonstrated, we think that it may be used for planning of a re-operation after urinary diversion and may help the urologist who has less experience with radiological studies to evaluate pouch configuration and indentations to the adjacent organs better.
authors.affiliation: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey. cgogus@tr.net
authors.forename: Cağatay
authors.initials: C
authors.lastname: Göğüş
authors.forename: Kadir
authors.initials: K
authors.lastname: Türkölmez
authors.forename: Suat
authors.initials: S
authors.lastname: Fitöz
authors.forename: Eriz
authors.initials: E
authors.lastname: Ozden
authors.forename: Cemil
authors.initials: C
authors.lastname: Yağci
authors.forename: Orhan
authors.initials: O
authors.lastname: Göğüş
mesh_terms: D000368:Aged; D015653:Cystectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging; D014547:Urinary Diversion