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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
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.
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.
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