Journal: | International braz j urol |
Database: | PERIÓDICA |
System number: | 000434652 |
ISSN: | 1677-5538 |
Authors: | Theva, Didi P1 Kuhnen, Angela1 Babayan, Richard K1 Katz, Mark H1 |
Institutions: | 1Boston University, Boston Medical Center, Boston, Massachusetts. Estados Unidos de América |
Year: | 2020 |
Season: | Ene-Feb |
Volumen: | 46 |
Number: | 1 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Experimental, aplicado |
English abstract | Objective: Cystectomy with urinary diversion is the gold standard for muscle invasive bladder cancer. It also may be performed as part of pelvic exenteration for non-urologic malignancy, neurogenic bladder dysfunction, and chronic conditions that result in a non-functional bladder (e.g., interstitial cystitis, radiation cystitis). Our objective is to describe the surgical technique of urinary diversion using large intestine as a conduit whilst creating an end colostomy, thereby avoiding a primary bowel anastomosis and to show its applicability with respect to urologic conditions. Materials and Methods: We retrospectively reviewed five cases from a single institution that utilized the described method of urinary diversion with large intestine. We describe operative times, hospital length of stay (LOS), and describe post-operative complications. Results: Five patients with a variety of urologic and oncologic pathology underwent the described procedures. Their operative times ranged from 5 hours to 11 hours and one patient experienced a Clavien III complication. Conclusion: We describe five patients who underwent this procedure for various medical indications, and describe their outcomes, and believe dual diversion of urinary and gastrointestinal systems with colon as a urinary conduit to be an excellent surgical option for the appropriate surgical candidate |
Disciplines: | Medicina |
Keyword: | Oncología, Urología, Cirugía, Derivación urinaria, Técnicas quirúrgicas, Anastomosis, Intestinos |
Keyword: | Oncology, Urology, Surgery, Urinary diversion, Surgical techniques, Anastomosis, Intestines |
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