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Published on: June 16, 2022
Continent cutaneous urinary diversion in patients with spinal cord injury
D Pazooki1, C Edlund, A-K Karlsson
1Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Study Design:
Retrospective study.
Objective:
To examine the functional results and effect on quality of life of continent cutaneous urinary diversion in spinal cord injured patients.
Setting:
Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden.
Subjects:
A total of 10 patients with spinal cord injury (SCI).
Method:
The patients were operated on with an ileal reservoir (Kock reservoir or T-pouch), Cr-EDTA clearance was determined preoperatively and at follow-up. The patients answered a questionnaire concerning reservoir function, various activities and quality of life. The patient charts were reviewed.
Results:
One patient died of pulmonary embolism 3 years after surgery. Two patients were reoperated on for reservoir perforation. All patients were satisfied/very satisfied with their reservoirs. Half of them reported improved ability to perform various activities. Eight out of nine patients reported improved quality of life.
Conclusion:
For a selected group of patients with SCI, continent cutaneous urinary diversion provides successful outcome with improved quality of life.
