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Indiana continent catheterizable urinary reservoir.

O A Castillo1, G Aranguren2, F Campos-Juanatey3

  • 1Departamento de Urología, Clínica INDISA, Santiago, Chile; Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.

Actas Urologicas Espanolas
|May 6, 2014
PubMed
Summary

The Indiana pouch continent urinary reservoir is a safe and effective option for urinary diversion after pelvic cancer surgery. This study shows good outcomes with manageable complications in 85 patients.

Keywords:
Bladder cancerBladder reconstructionContinent reservoirCáncer cérvico-uterinoCáncer vesicalExanteración pélvicaIndiana pouchPelvic exenterationRadioterapiaRadiotherapyReconstrucción vesicalReservorio continenteReservorio de IndianaUterine-cervical cancer

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Area of Science:

  • Urology
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Radical pelvic surgery often necessitates urinary diversion.
  • Orthotopic neobladder is common, but continent catheterizable reservoirs are alternatives.
  • The Indiana pouch offers a continent catheterizable urinary reservoir option.

Purpose of the Study:

  • To present surgical outcomes and complications of the Indiana pouch continent urinary reservoir.
  • To evaluate the Indiana pouch as a urinary diversion method in patients with pelvic malignancies.

Main Methods:

  • Retrospective analysis of 85 patients (66 women, 19 men) undergoing Indiana pouch urinary diversion.
  • Data collected included operative time, blood loss, transfusion rates, hospital stay, and perioperative complications.

Main Results:

  • The primary indication was managing complications from cervical cancer treatment (49 cases).
  • Average operative time was 110.5 minutes with a mean blood loss of 450 cc.
  • 18.85% experienced immediate complications (medically managed), and 32% had late complications (e.g., ureteral/stoma stenosis, stones). No mortality was observed.

Conclusions:

  • The Indiana continent catheterizable urinary reservoir is a viable urinary diversion method.
  • It is suitable for urological and gynecological malignancies.
  • It effectively manages pelvic morbidity associated with pelvic cancer treatment.