title: Revisiting the double-barreled wet colostomy for simultaneous urinary and fecal diversion--an Indian experience.
abstract: Pelvic exenteration in advanced malignancies is usually a curative procedure aimed at improving quality of life. We analyzed the perioperative data and outcomes in 12 patients who underwent simultaneous urinary and fecal diversion with a double-barreled wet colostomy after total pelvic exenteration. Eight males and four females aged between 25 and 73 years underwent the procedure with mean operative duration of 350 min and mean postoperative stay of 15 days. Three patients developed early complications while four developed late complications. During follow up ranging from 6 to 64 months, four patients died of disease progression while four died of unrelated causes. One lady was lost to follow up, the remaining had a mean survival of 32.9 months. None had deterioration in renal function or peristomal dermatitis and all were well accustomed to managing one stoma. Our results show that double-barreled wet colostomy is technically simple and reduces surgical morbidity while providing satisfactory outcomes and patient comfort.
authors.affiliation: Department of Urology, Amrita Institute of Medical Sciences and Research Centre, Kochi 682 041 Kerala, India. sukumarsudhi@rediffmail.com
authors.forename: Sudhir
authors.initials: S
authors.lastname: Sukumar
authors.forename: E
authors.initials: E
authors.lastname: Sivanandam
authors.forename: H Sanjay
authors.initials: HS
authors.lastname: Bhat
authors.forename: Georgie
authors.initials: G
authors.lastname: Mathew
authors.forename: O V
authors.initials: OV
authors.lastname: Sudheer
authors.forename: Puneet
authors.initials: P
authors.lastname: Dhar
mesh_terms: D000328:Adult; D000368:Aged; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010385:Pelvic Exenteration; D012189:Retrospective Studies; D016896:Treatment Outcome; D014547:Urinary Diversion