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Related Experiment Videos

[Continent urinary diversion using the appendix as a catheterizable stoma].

M Fujisawa1, N Yamanaka

  • 1Department of Urology, Shinko Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|May 1, 1991
PubMed
Summary

Continent urinary reservoirs were created using the appendix as a catheterizable stoma in two bladder cancer patients post-cystectomy. This technique resulted in large capacity, low-pressure reservoirs with complete urinary continence for both patients.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Bladder cancer necessitates radical cystectomy, often requiring urinary diversion.
  • Continent urinary diversion aims to restore bladder function and improve quality of life.
  • The use of the appendix as a catheterizable stoma is a reconstructive option.

Observation:

  • Two patients with bladder cancer underwent total cystectomy.
  • A continent urinary reservoir was constructed utilizing the in situ appendix as a catheterizable stoma.
  • Post-operative assessment included urodynamic studies and X-rays.

Findings:

  • Urodynamic studies demonstrated a large reservoir capacity (500-800 ml) with stable low-pressure maintenance.
  • No involuntary pressure spikes were observed during urodynamic assessment.

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  • Radiographic imaging confirmed the absence of reflux within the constructed reservoir.
  • Both patients achieved complete day and night-time urinary continence.
  • Implications:

    • The appendix can serve as a reliable catheterizable conduit for continent urinary diversion.
    • This surgical approach offers a viable solution for urinary reconstruction after cystectomy.
    • Successful outcomes suggest potential for improved patient quality of life in bladder cancer survivors.