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Related Experiment Videos

Continent urinary diversion using a sigmoid reservoir.

J E Pontes

    Urology
    |June 1, 1987
    PubMed
    Summary

    This study details a continent urinary diversion using sigmoid colon for patients needing cystoprostatectomy. The procedure offers good daytime urinary control, with nighttime incontinence managed by condom drainage.

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    Area of Science:

    • Urology
    • Surgical Innovation
    • Gastrointestinal Surgery

    Background:

    • Continent urinary diversions are established surgical options for select patients.
    • Cystoprostatectomy necessitates urinary tract reconstruction.

    Purpose of the Study:

    • To describe a novel continent urinary diversion technique.
    • To evaluate the efficacy of using sigmoid colon as a continent reservoir.

    Main Methods:

    • A continent reservoir was constructed using a segment of sigmoid colon.
    • Ureteral reimplantation with antireflux techniques was performed.
    • Patient outcomes regarding urinary control were assessed.

    Main Results:

    • The sigmoid colon segment effectively served as a continent urinary reservoir.
    • Antireflux ureteral procedures successfully protected the upper urinary tracts.
    • Patients demonstrated good daytime urinary continence.

    Conclusions:

    • Sigmoid colon urinary diversion is a viable option for selected patients.
    • The described technique provides effective daytime urinary control.
    • Nighttime incontinence can be managed with external devices.

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