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Metabolic changes and urodynamic findings after continent urinary diversion
D Weckermann1, F Wawroschek, J Schipp
1Department of Urology, Augsburg Central Hospital, Germany.
International Urology and Nephrology
|February 7, 2001
Summary
Continent urinary diversion offers excellent patient acceptance and function, with minimal metabolic issues. Long-term oncological risks require ongoing monitoring for this ideal bladder substitute.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Continent urinary diversion techniques (neobladder, pouch) emerged in the mid-1980s.
- These methods aim to provide continence and voluntary urine discharge.
Purpose of the Study:
- To evaluate if continent urinary diversion serves as an ideal bladder substitute.
- Assess long-term patient outcomes and identify potential risks.
Main Methods:
- Follow-up investigation of 18 patients who underwent continent urinary diversion.
- Clinical tests, metabolic assessments (acidosis, vitamin D3 metabolism), imaging (ultrasonography, X-ray), and urodynamic studies were performed.
Main Results:
- Most clinical values were normal; only five patients had discrete acidosis.
- No malabsorption or vitamin D3 metabolism disorders were detected.
- Imaging revealed normal conditions; urodynamics showed minimal residual urine and good continence.
- Patient acceptance was nearly perfect.
Conclusions:
- Continent urinary diversion demonstrates favorable short-to-medium term outcomes regarding function and patient satisfaction.
- Long-term oncological surveillance is crucial due to the potential risk of "urinary diversion carcinoma".