Ileal Conduit Urinary Diversion - Early and Late Complications

Svare, Jens; Walter, Steen; J, Kvist Kristensen; Lund, Flemming

doi:10.1159/000472461

Cited by 24 publications

(11 citation statements)

References 7 publications

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“…These results contrast with the findings in other series [ 14,24,25] where no influence of preoperative radiotherapy on the rate of early complications was observed. Antibiotic prophylaxis was, however, routine in two of these series [14,24], whereas the number of patients operated on for bladder cancer without radiation therapy was small in the third series [25], In our series the logistic regression analysis revealed no influence of the year of operation on the overall rate of early complications, although this might have been ex pected in a 20-year material. Blood transfusion has been reported to be associated with infectious complications after radical surgery for colorectal cancer [26].…”

Section: Early Complicationscontrasting

confidence: 99%

Cystectomy and Urinary Diversion during Twenty Years - Complications and Metabolic Implications

Jahnson

Pedersen

1993

Eur Urol

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Section: Early Complicationscontrasting

confidence: 99%

Cystectomy and Urinary Diversion during Twenty Years - Complications and Metabolic Implications

Jahnson

Pedersen

1993

Eur Urol

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“…Many studies reported that this technique has yielded similar health-related QoL when compared with continent urinary diversions. [678] But, our study demonstrated higher global satisfaction rate with continent diversions. Despite universal popularity of the ileal conduit-type urinary diversion, the reported long-term complications with this technique is considerably high.…”

Section: Discussionmentioning

confidence: 52%

Quality of life after radical cystectomy for bladder cancer in men with an ileal conduit or continent urinary diversion: A comparative study

et al. 2013

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Aim:To investigate quality of life (QoL) domains with three forms of urinary diversions, including ileal conduit, MAINZ pouch, and orthotopic ileal neobladder after radical cystectomy in men with muscle-invasive bladder cancer.Materials and Methods:In a prospective study, 149 men underwent radical cystectomy and urinary diversion (70 ileal conduit, 16 MAINZ pouch, and 63 orthotopic ileal neobladder). Different domains of QoL, including general and physical conditions, psychological status, social status, sexual life, diversion-related symptoms, and satisfaction with the treatment were assessed using an author constructed questionnaire. Assessment was performed at three months postoperatively.Results:In questions addressing psychological status, social status, and sexual life, patients with continent diversion had a more favorable outcome (P = 0.002, P = 0.01, and P = 0.002, respectively). The rate of erectile dysfunction did not differ significantly between the three groups (P = 0.21). The rate and global satisfaction was higher with the MAINZ pouch (68.7%) and ileal neobladder (76.2%) as compared with the ileal conduit group (52.8%) (P = 0.002).Conclusion:Continent urinary diversion after radical cystectomy provides better results in terms of QoL as compared with ileal conduit diversion.

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“…The protection of a stoma from stenosis which is aspired to is also not achieved in 5-70%. Here, the chronic complications as a factor of time are usually man ifested after several years (more than 5) and hence cannot be compared with the complications of a TUPUC occur ring within a period of 3 years [7][8][9][10], In order to avoid potential risk factors of conduits with interposed intestine from the start, nonintestinal diver TUPN was described by Arnold and Garrett in 1969 [2], This technique also appears to have less surgical risks compared to diversionary conduits with interposed intes tine. However, it is subject to an increased incidence of catheter problems such as dislocation, obstruction, wet ting and impediments to changing [18].…”

Section: Discussionmentioning

confidence: 99%

Transureteropyeloureterocutaneostomy

Lent¹

1993

Eur Urol

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Despite the most recently available means of creating transitory and palliative diversionary conduits via percutaneous nephrostomy and avoiding definitive conduits by means of intestinal bladder substitutes, alternative supravesical conduits remain topical. This is the case on the one hand when nephrostomy is not desired or tolerated and on the other hand when the general and local prerequisites for vesical bladder replacement are absent. For these cases, transureteropyeloureterocutaneostomy is available as a new modification. In this method, both kidneys are drained with a single cutaneous stoma without intestinal connection via an intubated ureter (as a ureteral conduit). The results of 3 years of experience in 23 patients are communicated.

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Ileal Conduit Urinary Diversion - Early and Late Complications

Cited by 24 publications

References 7 publications

Cystectomy and Urinary Diversion during Twenty Years - Complications and Metabolic Implications

Cystectomy and Urinary Diversion during Twenty Years - Complications and Metabolic Implications

Quality of life after radical cystectomy for bladder cancer in men with an ileal conduit or continent urinary diversion: A comparative study

Transureteropyeloureterocutaneostomy

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