Indiana pouch continent urinary reservoir in patients with previous pelvic irradiation

Mannel, R. S.; Braly, PS; Buller, R.E.

doi:10.1016/0020-7292(90)90556-z

Cited by 8 publications

(8 citation statements)

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“…11,12 To reduce the risk of urinary leak, various urinary diversion and pelvic reconstruction approaches have been proposed. 11,[13][14][15] In previous studies, 5-year survival rates for patients undergoing TPE have ranged from 8 -71% depending on the stage, histology, and location of the tumor in the colon and rectum and the use of adjuvant and neoadjuvant chemotherapy and/or radiotherapy. 1,2,4,7,16 -22 In selected patients, survival rates after en bloc removal of the rectum and bladder are comparable to those in patients who underwent standard colectomy for Duke Stage B2 and C colorectal carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Rationale for bladder-sparing surgery in patients with locally advanced colorectal carcinoma

Balbay

Slaton

Trane

et al. 1999

Cancer

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Section: Discussionmentioning

confidence: 99%

Rationale for bladder-sparing surgery in patients with locally advanced colorectal carcinoma

Balbay

Slaton

Trane

et al. 1999

Cancer

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“…A failure rate of 10-20% has been reported in pelvic irradiation who underwent continent urinary diversion with the efferent continent nipple mechanism [6]. Due to these a detubularized right colonic segment as the urinary reservoir, a relatively high complication rates alternative forms of conti- tients [8,9,[11][12][13]. The present paper reviews our experiwhom had total pelvic exenteration and 14 had anterior exenteraence using the ileocecal continent reservoir in patients with tion.…”

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confidence: 91%

“…The use of continent ileocolonic urinary reservoirs in fe-RESULTS male patients with prior pelvic irradiation has been reported [7][8][9][11][12][13]. Unfortunately, the numbers have been small with limited follow-up.…”

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confidence: 99%

“…Unfortunately, the numbers have been small with limited follow-up. In our original report on 10 patients, No patient had urinary extravasation in postoperative ranone had reoperation or significant complications [9]. Pediologic evaluation.…”

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confidence: 99%

“…Our technique of ileocecal diversion has been prepatients, thus supporting its use in this select group of patients. viously described [9]. Basically, the procedure consists of ᭧ 1995 Academic Press, Inc.…”

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Use of Ileocecal Continent Urinary Reservoir in Patients with Previous Pelvic Irradiation

Manetta¹,

Buller²,

Braly³

et al. 1995

Gynecologic Oncology

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Plastic surgical techniques in the repair of vesicovaginal fistulas: A review

Fitzpatrick

Elkins

1993

Int Urogynecol J

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A variety of plastic surgical techniques may be used in the repair of vesicovaginal fistulas. The indication for their use include: (a) diameter greater than 4 cm; (b) involvement of the bladder neck/proximal urethra; (c) radiation-induced fistulas; and (d) previous failed repair(s). In the developing world the vast majority of complex fistulas are caused by obstetric trauma; elsewhere they occur mainly following radiotherapy or radical surgery for gynecologic malignancy. The majority of complex fistulas requiring tissue donation may be effectively treated using a vaginal approach and a modified Martius graft. There is probably little or no advantage in encorporating bulbocavernosus muscle fibers in this graft. Although some concern exists regarding the long-term viability of these grafts in radiation-induced fistulas, in view of the relatively simple operative technique, together with the low associated morbidity, modified Martius grafts may be deemed suitable for first-time repairs. The gracilis muscle graft should be considered next in cases of exclusive transvaginal repair. The omental graft is undoubtedly the most versatile: it can be used in both abdominal and combined abdominovaginal procedures. The recently described posterosuperior sliding bladder flaps warrant further evaluation. For most fistulas involving the bladder neck/proximal urethra, there is no clear advantage in bladder flap reconstruction over vaginal flap reconstruction, the latter being augmented by an anti-stress incontinence procedure were appropriate. When continent urinary diversion is required, the Indiana pouch appears preferable to the Kock pouch; ureterosigmoidostomy is, however, technically

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Indiana pouch continent urinary reservoir in patients with previous pelvic irradiation

Cited by 8 publications

References 0 publications

Rationale for bladder-sparing surgery in patients with locally advanced colorectal carcinoma

Rationale for bladder-sparing surgery in patients with locally advanced colorectal carcinoma

Use of Ileocecal Continent Urinary Reservoir in Patients with Previous Pelvic Irradiation

Plastic surgical techniques in the repair of vesicovaginal fistulas: A review

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