Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationWorld J Urol 2004, 22(3):172-7
AbstractIncorporating bowel into the urinary tract sets the stage for a potentially dangerous situation for the upper part of this tract. Obstruction, reflux and chronic bacteriuria may develop, all of which can all be detrimental. Most reports on renal function have used IVP and serum creatinine only, methods which are inadequate for proper assessment. Long-term follow-up of patients with ileal conduit diversion reveals a high incidence of morphological and/or functional damage to the kidneys. Refluxing techniques for implanting the ureters have usually been employed. In patients with continent cutaneous diversion or orthotopic bladder substitution, some recent publications have shown rather well preserved glomerular filtration rates. Traditionally, antirefluxing ureteric implantation has been used in these patients. There is presently a trend towards refluxing anastomosis in this setting, providing a low pressure pouch has been constructed. However, pressure can be high in such pouches and bacteriuria is common. The consequences for the fate of the upper urinary tract is unknown and caution should be exercised in recommending such techniques. There is clearly a need for prospective randomized controlled studies on the issue of refluxing versus antirefluxing anastomosis in continent urinary reconstruction. Patients with continent or non-continent diversion should have lifelong follow-up with regard to the upper urinary tract.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- Renal function up to 16 years after conduit (refluxing or anti-reflux anastomosis) or continent urinary diversion. 2. Renal scarring and location of bacteriuria.
- Authors: Kristjánsson A, Bajc M, Wallin L, Willner J, Månsson W
- Issue date: 1995 Nov
- Refluxing ureterointestinal anastomosis for continent cutaneous urinary diversion.
- Authors: Hohenfellner R, Black P, Leissner J, Allhoff EP
- Issue date: 2002 Sep
- Ureteroenteric anastomosis in continent urinary diversion: long-term results and complications of direct versus nonrefluxing techniques.
- Authors: Pantuck AJ, Han KR, Perrotti M, Weiss RE, Cummings KB
- Issue date: 2000 Feb
- [Degree of postoperative renal deterioration in patients who have undergone ileal conduit as a form of urinary diversion in relation to the type of insertion of the ureter].
- Authors: Kajmaković BM, Dzamić ZM, Pejcić T, Milković B, Aćimović M, Djokić JH
- Issue date: 2013
- Conversion from external appliance wearing or internal urinary diversion to a continent urinary reservoir (Florida pouch I and II): surgical technique, indications and complications.
- Authors: Pow-Sang JM, Helal M, Figueroa E, Sanford E, Persky L, Lockhart J
- Issue date: 1992 Feb