The ileo-caecal continent urostomy was first described in 1975. It is a combination between an ileo-caecal reservoir and an ileal hydraulic valve. From 1973 to 1986 we performed 107 such operations (41 for vesicovaginal fistula, 40 for bladder tumor, 26 for bladder exstrophy, neurogenic bladder and miscellaneous). Continence was obtained in 100 patients (80 at the first operation and 20 after operation). The follow up was 3 to 146 months (average 37) in 82 patients 74 of whom had conserved good continence. In cases with failure of continence, repair was obtained by reinvagination of the same valve or by creating a new valve. Only 2 cases of metabolic disorders in the form of acute pyelonephritis are reported. The continent urostomy provides a better quality of life for patients requiring a urinary diversion. The psychosocial and economic impact is very important.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
"I think my vagina is still there?": Women's perspectives on sexual function and dysfunction following radical cystectomy for bladder cancer, a qualitative study.
J Sex Med
April 2024
Department of Urology, Norris Comprehensive Cancer Center, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA 90033, United States.
Background: Women's sexual health after radical cystectomy is an important but poorly understood aspect of bladder cancer survivorship. Dedicated investigation is needed to elucidate patient perceptions on sexual function and dysfunction in this setting.
Aims: In this study we sought to qualitatively examine women's perceptions and experiences of sexual health following radical cystectomy for bladder cancer.
United Ostomy Associations of America's Ostomy and Continent Diversion Patient Bill of Rights: An Examination of Best-in-Practice Care for Ostomy Patients.
J Wound Ostomy Continence Nurs
September 2022
Jeanine Gleba, MEd, United Ostomy Associations of America, Inc (UOAA), Kennebunk, Maine.
Purpose: The purpose of this study was to examine best practices through utilization of United Ostomy Associations of America's (UOAA's) Ostomy and Continent Diversion Patient Bill of Rights (PBOR) from the perspective of patients and clinicians.
Design: Cross-sectional, comparative design.
Subjects And Setting: The sample comprised 412 patients with ostomies (colostomy, ileostomy, urostomy) and continent diversions (such as J-pouch) and 195 clinicians (physicians, nurses, nurse assistants) residing in the United States.
Achieving stomal continence with an ileal pouch and a percutaneous implant.
J Mater Sci Mater Med
January 2022
The Intervention Centre, Rikshospitalet, Oslo University Hospital, Oslo, Norway.
In this study, a soft-tissue-anchored, percutaneous port used as a mechanical continence-preserving valve in reservoir ileo- and urostomies was functionally and morphologically evaluated in eight dogs. During follow-up, the skin failed to attach to the implant, but the intestine inside the stoma port appeared to be attached to the mesh. After reaching adequate reservoir volume, the urostomies were rendered continent by attaching a lid to the implant.
View Article and Find Full Text PDFAdenocarcinoma mucinosum of extrophy bladder: A rare case report.
Int J Surg Case Rep
November 2021
Department of Urology, Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Indonesia. Electronic address:
Article Synopsis
- Bladder exstrophy is a rare birth defect that can sometimes transform into mucinous adenocarcinoma, an aggressive and rare bladder cancer; this transformation is extremely uncommon.
- A case study of a 41-year-old man with untreated bladder exstrophy who developed mucinous adenocarcinoma highlights the complexity of his condition, which required multiple surgical interventions but ultimately resulted in his death due to complications exacerbated by COVID-19 hospital restrictions.
- This case emphasizes that bladder exstrophy increases the risk of bladder cancer, and it underscores the necessity for rigorous monitoring and a multidisciplinary approach to treatment in such rare malignancies.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!