Long term follow up of ileocecum-appendix pouch for the replacement of urinary bladder(report of 11 cases)
- VernacularTitle:阑尾与尿道吻合的回盲肠代膀胱手术远期疗效观察(附11例报告)
- Author:
Shaoyong WANG
;
Laizeng GE
;
Zhishun XU
- Publication Type:Journal Article
- Keywords:
Bladder neoplasms;
Carcinoma;
Urinary diversion;
Urodynamics
- From:
Chinese Journal of Urology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long term outcome of the continent urinary reservoir constructed with ileocecum appendix. Methods From 1985 to 1992,continent urinary reservoir was constructed by using ileocecum appendix after radical cystectomy for 56 patients,of which 11 have been followed up for over ten years. Results The daytime continence rate was 90% and the night continence rate 80%.The average capacity of the urinary pouch has been 388 ml,and the mean pressure 28 cm H 2O.The average urine flow rate is 9.6 ml/s.No evidence of ureteral reflux and no hyperchloremic acidosis have been observed.Stone formation in the pouch occurred in 1 patient,pseudo valve in the posterior urethra in 2 and stricture of the posterior urethra in 1. Conclusions Continent ileocecum appendix pouch might be considered as an ideal form of urinary diversion,characterized by low pressure,large capacity,continent and in situ urination.
