Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Nonrefluxing colonic conduits: a long-term life-table analysis.

D A Husmann1, G A McLorie, B M Churchill

  • 1University of Texas Southwestern Medical Center, Dallas.

The Journal of Urology
|November 1, 1989
PubMed
Summary

Urinary diversion using a nonrefluxing colonic conduit can lead to renal scarring, particularly if the ureteroenteric anastomosis deteriorates. Maintaining anastomosis integrity is crucial for preventing kidney damage in patients with bacterial colonization.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Screening for Zinner Syndrome in Patients With a Congenitally Solitary Kidney: Lessons Learned.

The Journal of urology·2023
Same author

Erectile dysfunction in patients undergoing multiple attempts at hypospadias repair: Etiologies and concerns.

Journal of pediatric urology·2020
Same author

Cancer screening in the pediatric cancer patient: a focus on genitourinary malignancies, and why does a urologist need to know about this?

Journal of pediatric urology·2018
Same author

Systematic review of bladder cancer outcomes in patients with spina bifida.

Journal of pediatric urology·2017
Same author

Mortality following augmentation cystoplasty: A transitional urologist's viewpoint.

Journal of pediatric urology·2017
Same author

Development of late, symptomatic abdominopelvic lymphoceles more than 10 years following pediatric reconstructive urologic procedures.

Journal of pediatric urology·2011

Area of Science:

  • Urology
  • Nephrology
  • Surgical Outcomes

Background:

  • Urinary diversion is a common procedure for various urological conditions.
  • Nonrefluxing colonic conduits are utilized to minimize complications like reflux.
  • Long-term outcomes regarding renal health after this type of diversion require ongoing evaluation.

Purpose of the Study:

  • To assess the incidence of renal scarring in patients after urinary diversion with a nonrefluxing colonic conduit.
  • To investigate the relationship between ureteroenteric anastomosis integrity and renal scarring.
  • To determine the impact of bacterial colonization in the conduit on renal outcomes.

Main Methods:

  • Prospective evaluation of 25 patients undergoing urinary diversion.
  • Median follow-up period of 12.7 years.

Related Experiment Videos

  • Assessment of renal scarring, ureteroenteric anastomosis status (reflux/stricture), and bacterial colonization.

    • Main Results:

    • Renal scarring occurred in 10% of kidneys over the follow-up period.
    • Anastomotic deterioration (reflux or stricture) was observed in 22% of renal units.
    • Kidneys with intact anastomoses showed no renal scarring (p < 0.001).
    • Bacterial colonization (96% of patients) did not correlate with scarring if the diversion remained anatomically intact.

    Conclusions:

    • Deterioration of the ureteroenteric anastomosis is a significant risk factor for renal scarring after nonrefluxing colonic conduit urinary diversion.
    • Anatomical integrity of the urinary diversion is paramount in preventing renal damage, even in the presence of bacterial colonization.
    • Long-term surveillance for anastomotic complications is essential for preserving renal function.