Document Detail


Continent urinary reservoirs.
MedLine Citation:
PMID:  1623382     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our experience of 30 continent urinary reservoirs (CURs) after radical cystectomy. The patients ranged in age from 35 to 70 years. There were 22 males and 8 females. Pre-operative urograms showed normal upper tracts in 22 patients, unilateral hydronephrosis in 4 and bilateral hydronephrosis in 4. The first 20 patients had a standard CUR procedure and the last 10 had a modified CUR. The mean operative time, blood loss and post-operative stay were 6.6 h, 900 ml and 25 days respectively for standard CURs and 5.7 h, 825 ml and 21 days respectively for the modified CURs. Post-operative, urinary leaks from the caecostomy site occurred in 2 patients (1 of which was fatal) while 3 other patients had prolonged ileus, burst abdomen and intestinal obstruction probably due to non-demonstrable urinary leaks. All 5 complications occurred in the first 20 patients. Upper tract status was evaluated in 28 patients 3 months after surgery and showed normal upper tracts in 19 patients, improvement in 6 (35%) and worsening in 3 (12.5%). Pouchograms showed no reflux in 25 patients, unilateral reflux in 2 and bilateral reflux in 1. Complete continence was achieved in 25 patients--2 of them had revision surgery, giving a success rate of 89% with a follow-up of 6 to 48 months (median 24). The remaining 3 patients were incontinent.
Authors:
J N Kulkarni; H B Tongaonkar; R Ravi; M R Kamat
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of urology     Volume:  69     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-08-10     Completed Date:  1992-08-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  513-7     Citation Subset:  IM    
Affiliation:
Genitourinary Service, Tata Memorial Hospital, Parel, Bombay, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cystectomy / methods
Female
Humans
Male
Middle Aged
Postoperative Complications / etiology
Treatment Outcome
Urinary Bladder Neoplasms / surgery*
Urinary Diversion
Urinary Reservoirs, Continent / methods*

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