+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Comparison of three types of continent urinary diversions in a single center

, : Comparison of three types of continent urinary diversions in a single center. Thescientificworldjournal 4 Suppl 1: 135-141

The results including the complication and continence rates for 3 types of continent urinary diversion were evaluated. From 1992 to 1998 we performed 58 continent urinary diversions after radical cystectomy for invasive transitional cell carcinoma (TCC) of the urinary bladder. All three types of continent diversions and ileal loop procedures were discussed and patient preferences were determined. The patient preference rate for continent urinary diversion was 96.6%, and half of these patients wanted to be completely dry. Mean age of the patients was 58.2 years. Of the 58 patients, 9 (15.5%) had a Kock pouch, 15 (25.8%) had a Kock neobladder and 34 (58.6%) had sigmoidorectal pouch (Mainz-II pouch). Early and late complication rates of the three different continent diversions were evaluated. The number of complications, such as urine leakage, pyelonephritis, hydronephrosis, reflux and stone formation, were similar in all three types of diversions. Two (5.9%) Mainz pouch II patients who had stopped oral alkalinization demonstrated severe hyperchloremic acidosis. Spontaneous pouch rupture occurred in 1 of the Kock pouches. Reoperation rates were higher with the Kock pouch and Kock neobladder cases. Daytime continence rates for the Kock pouch, Kock neobladder and Mainz II pouch were 77.7%, 86.7% and 100% respectively. Even though complete dryness may not be achieved in every patient, orthotopic bladder substitution appears to be the best choice after radical cystectomy. Although it carries the risk of life-long oral alkalinization therapy, the Mainz pouch II is associated with an excellent continence rate and may be a good alternative for patients who desire to be dry.


PMID: 15349539

DOI: 10.1100/tsw.2004.59

Other references

Duch, B.U.; Andersen, H.L.; Smith, J.; Kassab, G.S.; Gregersen, H., 2002: Structural and mechanical remodelling of the common bile duct after obstruction. Biliary obstruction in man, most often caused by cholelithiasis, induces remodelling of the bile ducts. Obstruction-induced structural remodelling of the common bile duct (CBD) has been previously described. The mechanical changes that accompany t...

Carlson, P.V.; Greenspoon, M.K., 1968: The uses and abuses of visual training for children with perceptual-motor learning problems. American Journal of Optometry and Archives of American Academy of Optometry 45(3): 161-169

Ikeda, S.; Kondo, K.; Oguchi, K.; Yanagisawa, N.; Horigome, R., 1984: Electron microscopic examination of skin, stomach and rectum biopsies in adult fucosidosis. Rinsho Shinkeigaku 24(4): 358-366

Garcia de H.M.; Sanchez, C.; Colmenarez, J.; Beltran, E., 1994: Use of Leucaena leucocephala as a supplement to grazing in crossbred dual-purpose cows in the Valle de Aroa, Venezuela. 18 crossbred dual-purpose cows with a daily milk yield of 3-4 litres were divided into 3 groups: A: Leucaena leucocephala as a grazing supplement for 2 h/day; B: Leucaena leucocephala for 4 h/day; and C: unsupplemented grazing. The cows were milke...

Hyuga, S.; Sekiguchi, T.; Ishida, T.; Yamamoto, K.; Sugiyama, Y.; Kawamata, M., 2014: Successful tracheal intubation with the McGrath(®) MAC video laryngoscope after failure with the Pentax-AWS™ in a patient with cervical spine immobilization. Canadian Journal of Anaesthesia 59(12): 1154-1155

Durecko, R.; Cabadaj, R.; Baranova, M.; Saladiova, D., 2003: The sources of nitrates and nitrites in dairy cow milk. Twenty dairy cows were used in our experiment (10 in the first and another 10 in the second half-year) with a milk yield of 4200 litres about 2 months after calving. The contents of nitrates and nitrites were determined once a month in the individ...

Southwick, F.W.; Edgerton, L.J.; Hoffman, M., 1947: Studies in thinning peaches with blossom removal sprays. Six prepns. of dinitro compounds were applied as a spray at the rate of 1.5-5 oz. of toxicant to trees when approx. 95% of flowers were open. The amt. used varied with the age of tree, var., vigor and amt. of bloom. All the dinitro materials teste...

Renier, D.; Pierre-Kahn, A.; Hirsch, J.F., 1975: Neurosurgery under strict asepsis. Effect of the surgical isolator on the level of infections after valve shunts for hydrocephalus. The authors report on two groups of 75 shunts for hydrocephalus. Each group includes both cases in which the shunt was implanted for the first time and cases in which the repair of a former shunt was necessary either for mechanical or infectious c...

Mclane, K.E.; Tang, F.; Conti Tronconi, B.M., 1990: Localization of sequence segments forming a k-bungarotoxin-binding site on the a3 neuronal nicotinic receptor. The Journal of Biological Chemistry 265: 37-44

Dalén, P., 2000: Chronic fatigue is a problem not yet solved--new viewpoints are required. Lakartidningen 97(7): 752, 754-752, 754