Document Detail

Total reconstruction of the lower urinary tract using bowel and the artificial urinary sphincter.
MedLine Citation:
PMID:  6708234     Owner:  NLM     Status:  MEDLINE    
We report 3 cases in which the lower urinary tract was reconstructed using bowel. In each instance the cuff was placed around the bowel to provide a continence mechanism. The 2 patients in whom the sigmoid colon was used have sporadic diurnal incontinence with nocturnal enuresis. Urodynamic evaluation has shown that this is secondary to high pressures generated within the closed sigmoid loop. The ileocecocolonic segment is preferable for reconstruction of the lower urinary tract, since the pressure developed within the bowel is significantly lower. The use of the artificial urinary sphincter around the bowel extended the versatility of the device.
J K Light; F B Scott
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  131     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1984 May 
Date Detail:
Created Date:  1984-05-17     Completed Date:  1984-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  953-6     Citation Subset:  AIM; IM    
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MeSH Terms
Bladder Exstrophy / surgery
Cecum / surgery
Child, Preschool
Colon, Sigmoid / surgery
Ileum / surgery
Intestines / surgery*
Prostheses and Implants*
Urethra / surgery*
Urinary Bladder / surgery*
Urinary Diversion / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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