Long-Term Outcome of Ileal Conduit Diversion.

Abstract

This study demonstrates a high conduit related complication rate in long-term survivors and underlines the need for vigorous long-term followup. Only studies lasting more than 1 decade cover the entire morbidity spectrum.

A novel technique to achieve cutaneous continent urinary diversion in spinal cord-injured patients unable to catheterize through native urethra

“…In these women with risk factors of urethral leakage, the risk/ benefit ratio of an ECP combined with ACS that includes the chance of re-interventions for bladder neck closure has to be carefully assessed. Heterotopic continent diversion bearing the potentially severe long-term morbidity of ureterodigestive re-implantation 21 can be discussed in such cases.…”

Behandlungsergebnisse der exenterativen Eingriffe bei gynäkologischen Malignomen an der Frauenklinik im Klinikum Kassel

“…Zudem besteht keine Gefahr der Ausbildung eines Kurzdarmsyndroms, im Gegensatz zur kontinenten Harnableitung, die wesentlich längere Darmsegmente (60-80 cm) benötigt (Gillitzer, 2007 (Morgan et al, 1993;Stein, 1996). Spätkomplikationen können bei zwei Drittel der Patientinnen nach Ileum-Conduit auftreten (Madersbacher, 2003 Fälle innerhalb von fünf Jahren nach der Operation auftritt (Madersbacher, 2003;Iborra, 2001 Iborra, 2001;Madersbacher, 2003;Gillitzer, 2007 (Gillitzer, 2007).…”

Current Trends in Urinary Diversion in Men

“…The base of the conduit is closed and the ureters are reimplanted directly, creating an antirefluxing ureteroileal anastomosis. Ureteral stents (small-diameter, multichannel, silicone catheters) are placed through the ureteral anastomosis, the conduit and into the pelvis to facilitate urinary drainage while the anastomosis is healing [33][34].The conduit is usually positioned in the right lower quadrant of the abdomen in an isoperistaltic direction [32]. To create the stoma, a small circle of skin is excised at the premarked site.…”

“…The ureters are identified and transected approximately 3 or 4 cm above the bladder and then they are minimally mobilized taking care to preserve the surrounding adventitia and fat. The conduit is constructed using an ileal segment 15 to 20 cm long that is isolated approximately 20 cm proximal to the ileocecal valve [31,32,33].…”