Effects on renal function of obstructive and nonobstructive dilatation of the upper urinary tract in ileal neobladders with refluxing ureteroenteric anastomoses

Abstract

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Renal function evaluation in patients undergoing orthotopic bladder substitution: a systematic review of literature

“…In all, six articles were included for analysing the effect of UD on RFn . Articles from same the centres were excluded if they had duplicate data or described different outcomes .…”

“… as bacteriuria >10 5 CFU/mL with the presence of flank pain/tenderness and fever (>38 °C axillary). In another publication, the authors defined UTI as >10 4 CFU/mL with suprapubic pain or >10 5 CFU/mL with or without symptoms and urosepsis when associated with positive blood culture . The post‐void residual urine volume (PVR) was defined as >20% of voided volume according to Song et al.…”

“…In two studies, 99m technitium diethylene tetramine pentaacetic acid (DTPA) diuretic scintigraphy was used to estimate GFR . In an initial report from the group from Bern, Switzerland, the authors used IVU‐measured kidney size and parenchymal thickness as an assessment tool of morphological and RFn changes in the long‐term .…”

“…Similarly, Minervini et al. studied the effect of reflux and stricture on the upper tract by means of DTPA renal scans. The authors found that reflux was bilateral in three patients with recurrent episodes of urosepsis, in these renal units, DTPA renal scans showed worse RFn outcome than renal units with sterile urine.…”

Die ureterointestinale Anastomose

“…Für die Nierenfunktion nach Harnableitung ist im Langzeitverlauf eine Obstruktion sehr viel schädlicher als ein Reflux [15,27]. Während für die meisten größeren Serien Daten zur Stenoserate der ureterointestinalen Anastomose vorliegen (.…”