Document Detail


Urinary diversion via a continent ileal reservoir: clinical results in 12 patients.
MedLine Citation:
PMID:  7120547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Urinary diversion via a continent ileal reservoir has been performed in 12 patients. An isolated ileal reservoir was constructed using the technique described for patients with a continent ileostomy. The ureters were implanted into an afferent segment provided with a reflux-preventing nipple valve. There were few operative complications and no operative mortality. Late complications involving malfunction of the nipple valves occurred in 8 patients and were corrected surgically. Postoperative followup presently is between 9 months and 6 1/2 years. Two patients have died: 1 in an accident and 1 of metastatic bladder carcinoma. The remaining 10 patients are continent and without reflux to the upper urinary tract. The reservoir generally is emptied by intermittent self-catheterization between 3 to 6 times daily. The volume capacity of the reservoir is more than 500 ml. Urinary cultures have been constantly negative in 7 patients and the contents of the reservoir more or less permanently contained bacteria in 5. Dilatation of the upper urinary tracts, progressive renal deterioration or metabolic disturbances have not been encountered. All patients are satisfied with this type of urinary diversion, especially those who have undergone other types of diversion previously.
Authors:
N G Kock; A E Nilson; L O Nilsson; L J Norlén; B M Philipson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  128     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1982-12-03     Completed Date:  1982-12-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  469-75     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Fascia / transplantation
Female
Follow-Up Studies
Humans
Ileum / surgery
Male
Middle Aged
Self Care
Surgical Mesh
Urinary Bladder, Neurogenic / surgery
Urinary Catheterization
Urinary Diversion / methods*
Urinary Incontinence / surgery

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


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