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Related Experiment Videos

Continent right colon reservoir using a cutaneous appendicostomy.

John P Stein1, Siamak Daneshmand, Matthew Dunn

  • 1Department of Urology, Norris Comprehensive Cancer Center, University of Southern California Keck School of Medicine, Los Angeles, California 90089, USA.

Urology
|March 19, 2004
PubMed
Summary

This study presents a continent cutaneous right colon reservoir for urinary diversion, offering an alternative to urostomy appliances. The technique utilizes a catheterizable appendicostomy for good functional results and excellent continence.

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Area of Science:

  • Urology
  • Surgical Techniques
  • Urinary Diversion

Background:

  • Orthotopic neobladder is preferred for lower urinary tract reconstruction post-cystectomy.
  • A subset of patients are unsuitable for orthotopic neobladder.
  • Continent cutaneous reservoirs offer an alternative for urine storage and upper tract protection without a urostomy appliance.

Purpose of the Study:

  • To describe the surgical technique of a continent cutaneous right colon reservoir.
  • To evaluate its efficacy as an alternative urinary diversion.

Main Methods:

  • Utilized ascending and proximal transverse colon, detubularized and folded into a reservoir.
  • Incorporated terminal ileum as the afferent limb with ileocecal valve for antireflux.
  • Created a catheterizable continence mechanism using a submucosally tunneled appendix with a flap-valve technique.

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Main Results:

  • The described technique provides a functional continent cutaneous urinary diversion.
  • Demonstrated good functional outcomes and excellent patient continence.

Conclusions:

  • Continent cutaneous right colon reservoir with ureteroileal coloappendicostomy is a viable option for cutaneous urinary diversion.
  • Suitable for patients with an intact appendix, offering good functional results and continence.