[Continent heterotopic derivation of urine in a partially isolated segment of the sigmoid intestine after cystprostatectomy].
From 1992 to 2006 cystprostatectomy with continent heterotopic urine derivation in a partially isolated segment of the sigmoid intestine was made in 37 males aged 39-78 years. The patients had the following tumor stages: 2 patients with T2NXM0, 20 patients with T3NXM0, 6 patients with T3N1M0, 9 patients with T3-4N1MX. Thirty patients (81%) had no complications in an early postoperative period, 7 (19%) had complications: purulent pyelonephritis (n = 2), wound suppuration (n = 3), intestinal eventration (n = 1), interintestinal abscess (n = 1). There were two lethal outcomes early after operation: one patient died of bilateral purulent pyelonephritis and the other one--of acute cardiac failure. For 3 years 27 (77%) of 35 patients had satisfactory quality of life. Thus, urine derivation by simple methods one of which is creation of a partially isolated reservoir from a sigmoid segment with transanal urine derivation is indicated after cystprostatectomy for elderly males with a high risk of postoperative complications and lethality (stage T2-T3NXMX) and unclear distant metastases.
Bavil'skiĭ
V F
VF
Saetov
M N
MN
Plaksin
O F
OF
Plaksin
V V
VV
Salaznikov
A V
AV
D000328:Adult; D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery*; D015653:Cystectomy; D018572:Disease-Free Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D011788:Quality of Life; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent