Ileovesicostomy Update: Changes for the 21st Century

Abstract

Objectives. To review the literature regarding ileovesicostomy and evaluate our patient population for clinical characteristics. Methods. Various surgical reconstructive techniques allow management of difficult clinical scenarios involving patients with neurogenic bladder, irretraceable lower urinary tract symptoms, lower urinary tract disaster, and urethrocutaneous fistulae. One such reconstructive technique employed is the ileovesicostomy. This procedure provides patients with a low-pressure urinary conduit utilizing the ileum and native bladder that empties without catheterization. We describe our patient population who underwent ileovesicostomy for 5 consecutive years ending 2007 at Detroit Receiving Hospital. Results. Most common diagnosis was neurogenic bladder secondary to spinal cord injury. Our population and clinical outcomes are similar to those previously reported in the literature. Conclusions. Based on our experience, we suggest that patients with severe lower urinary tract symptoms and who are unable to perform clean intermittent catheterization and/or refractory to medical therapy ileovesicostomy should be the procedure of choice.

Effect of the whole seamless connection of nursing from WeChat interactive platform on stigma and quality of life in patients with urinary system cancer

“…With the annually rising incidence of urinary system cancers, the number of patients undergoing urogenital surgery and urostomy is also increasing. 15 Surgical loss of prostate, testis, or penis can lead to loss of virility or fertility in patients with urinary system cancers. 16 , 17 It is commonly believed that reproductive system cancers are associated with unclear sexual intercourse and excessive indulgence, which often affects the relationship of couples.…”

Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury

“…The benefits of ileovesicostomy over ileal conduit include the prevention of uretero-intestinal stricture, elimination of the risk of pyocystitis if the bladder is retained, preseravtion of the natural upper tract anti-reflux mechanism, and preservation of sexual function [ 93 ]. However, stenosis of the stoma or the ileovesical anastomosis was reported in 8–38% of patients [ 128 , 129 ]. Urolithiasis was reported in 0–25% of patients [ 128 , 129 ].…”

Use of Bowel in Reconstructive Urology: What a Colorectal Surgeon Should Know

“…In patients with a completely atonic bladder, there is some concern that an ileovesicostomy would be insufficient to allow for complete emptying, and thus an ileovesicostomy would not be optimal for these patients. 9 Leng et al reviewed the long-term outcomes of ileovesicostomy in patients with severe lower urinary tract dysfunction. 10 In this series of 38 patients, 28 had spinal cord injuries, 9 had multiple sclerosis, 1 had cerebral palsy, and 3 had significant urethral injury/destruction.…”