Abstract
The use of intestine to substitute for the diseased or absent bladder represents an important surgical innovation in gastrointestinal surgery to emerge during the past century. Intestinal urinary diversions have evolved from simple conduits to true continent storage vessels that may, in some circumstances, be anastomosed to the urethra to function as a neobladder. All segments of the bowel have been utilized toward this end. It is the purpose of this chapter to outline the basic types of urinary diversions most commonly in use in North America and Europe today and to review the complications associated with them.
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References
Bachor R, Hautmann R. Options in urinary diversion: a review and critical assessment. Semin Urol 1993; 11: 235 - 250.
Frazier H, Robertson J, Paulson D. Complications of radical cystectomy and urinary diversion: a retro spective review of 675 cases in 2 decades. J Urol 1992; 148: 1401 - 1405.
Sullivan J, Grabstald H, Whitmore W. Complications of ureteroileal conduit with radical cystectomy: review of 336 cases. J Urol 1980; 124: 797 - 801.
Hensle T, Dean G. Complications of urinary tract reconstruction. Urol Clin N Am 1991; 18: 755 - 764.
Boyd S, Feinberg S, Skinner D, et al. Quality of life survey of urinary diversion patients: comparison of ileal conduits versus continent Koch ileal reservoirs. J Urol 1987; 138: 1386 - 1389.
Bjerre B, Johansen C, Steven K. Health-related quality of life after cystectomy: bladder substitution compared with ileal conduit diversion. A questionnaire survey. Brit J Urol 1995; 75: 200 - 205.
Navon J, Wong A, Weinberg A, et al. A comparative study of postoperative complications associated with the modified Indiana pouch in elderly versus younger patients. J Urol 1995; 154: 1325 - 1328.
De Kernion J, Trapasso J. Urinary diversion and continent reservoir. In: Gillenwater J, Grayhack J, Howards S, Duckett J, eds. Adult and Pediatric Urology. Vol 2, 3rd ed, Mosby, St. Louis, 1996.
Bachor R, Hautmann R. Options in urinary diversion: a review and critical assessment. Sem Urol 1993; 11: 235 - 250.
McDougal W. Metabolic complications of urinary intestinal diversion. J Urol 1992; 147: 1199 - 1206.
Treiger B, Marshall F. Carcinogenesis and the use of intestinal segments in the urinary tract. Urol Clin N Am 1991; 18: 737 - 742.
Bricker E. Bladder after pelvic evisceration. Surg Clin N Am 1950; 30: 511 - 518.
Fujusawa M, Isotani S, Gotoh A, et al. Health-related quality of life with orthtopic neobladder versus ileal conduit according to the SF-36 survey. Urology 2000; 55: 862 - 865.
Katimura H, Miyao N, Yanase M, et al. Quality of life in patients having an ileal conduit, continent reservoir or orthotopic neobladder after cystectomy for bladder carcinoma. Int J Urol 1999; 6: 393 - 399.
Gilchrist R, Merricks J, Hamlin H, et al. Construction of a substitute bladder and urethra. Surg Gynecol Obstet 1950; 90: 752 - 760.
Rowland RG, Mitchell ME, Bihrle R, et al. Indiana continent urinary reservoir. J Urol 1987; 137: 1136 - 1139.
Rowland RG, Mitchell ME, Bihrle R. The caecoileal continent urinary reservoir. World J Urol 1985; 3: 185 - 190.
Mitrofanoff P. Cystostomie continente trans-appendiculaire dans le traitement des vessies neurologiques. Chir Ped 1980; 21: 297.
Studer U, Danuser H, Merz V, et al. Experience in 100 patients with an ileal low pressure bladder substitute combined with an afferent tubular isoperistaltic segment. J Urol 1995; 154: 49 - 56.
Bejany D, Politano V. Modified ileocolonic bladder: 5 years experience. J Urol 1993; 149: 1441 - 1444.
Light J, Englemann U. Le bag: Total replacement of the bladder using an ileocolonic pouch. J Urol 1986; 136: 27 - 31.
Hautmann R, Egghart G, Frohnberg D, et al. The ileal neobladder. J Urol 1988; 139: 39 - 42.
Reddy P, Lange P, Fraley E. Total bladder replacement using detubularized sigmoid colon: technique and results. J Urol 1991; 145: 51 - 55.
Skinner D, Boyd S, Lieskovsky G, et al. Lower urinary tract reconstruction following cystectomy: experience and results in 126 patients using the Kock ileal reservoir with bilateral ureteroileal urethrostomy. J Urol 1991; 146: 756 - 760.
Iwakiri J, Gill H, Anderson R, et al. Functional and urodynamic characteristics of an ileal neobladder. J Urol 1993; 149: 1072 - 1076.
Steiner M, Morton R, Marshall F. Vitamin B12 deficiency in patients with ileocolic neobladders. J Urol 1993; 149: 255 - 257.
Roth S, Semjonow A, Waldner M, et al. Risk of bowel dysfunction with diarrhea after continent urinary diversion with ileal and ileocecal segments. J Urol 1995; 154: 1696 - 1699.
Gianni S, Nobile N, Sartori L, et al. Bone density and skeletal metabolism in patients with orthotopic ileal neobladder. J Am Soc Nephrol 1997; 8: 1553 - 1559.
Davidson T, Lindergard B, Obrant K, et al. Long-term metabolic effects of urinary diversion on skeletal bone: histomorphometric and mineralogic analysis. Urology 1995; 46: 328 - 333.
Kawakita M, Arai Y, Shigeno C, et al. Bone demineralization following intestinal diversion assessed by urinary pyridinium cross-links and dual energy X-ray absorptiometry. J Urol 1996; 156: 355 - 359.
Kabalin J. Acucise incision of ureteroenteric strictures after urinary diversion. J Endourol 1997; 11: 37 - 40.
Ravery V, de laTaille A, Hoffmann P, et al. Balloon catheter dilatation in the treatment of ureteral and ureteroenteric stricture. J Endourol 1998; 12: 335 - 340.
Stuart Wolf S, Elashry O, Clayman R. Long-term results of endoureterotomy for benign ureteral and ureteroenteric strictures. J Urol 1997; 158: 759 - 764.
Turk T, Koleski F, Albala D. Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion. World J Urol 1999; 305 - 307.
Dretler S. The pathogenesis of urinary tract calculi occurring after ileal conduit diversion: I. Clinical study. II. Conduit study. III. Prevention. J Urol 1973; 109: 204 - 209.
Cass A, Lee J, Aliabadi H. Extracorporeal shock wave lithotripsy and endoscopic management of renal calculi with urinary diversions. J Urol 1992; 148: 1123 - 1125.
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Rutchik, S., Albertsen, P. (2003). Urinary Diversion Surgery. In: Wu, G.Y., Aziz, K., Whalen, G.F. (eds) An Internist’s Illustrated Guide to Gastrointestinal Surgery. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-389-7_14
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DOI: https://doi.org/10.1007/978-1-59259-389-7_14
Publisher Name: Humana Press, Totowa, NJ
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