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Continent caecal reservoir in urinary diversion
British Journal of Urology
|August 1, 1984
Summary
This study explored continent urinary reservoir construction using the caecum in bladder cancer patients. While complications like nipple valve malfunction occurred, technique evolution improved results, suggesting potential for enhanced quality of life.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Bladder cancer necessitates advanced treatment strategies.
- Continent urinary diversion aims to improve patient quality of life post-cystectomy.
Purpose of the Study:
- To evaluate the feasibility and outcomes of constructing a continent urinary reservoir using the caecum.
- To assess the efficacy of an intussuscepted ileal nipple for continence.
Main Methods:
- Continent urinary reservoir construction using caecum in 18 bladder cancer patients.
- Creation of an intussuscepted ileal nipple for urinary continence.
- Follow-up for 7 to 68 months.
Main Results:
- 15 patients survived; common complications included nipple valve malfunction (leakage, catheterization difficulty) requiring outlet revision in 11 cases.
- Uretero-intestinal anastomosis stricture occurred in 3 patients.
- Technique evolution led to improved functional outcomes.
Conclusions:
- Continent caecal reservoir construction is complex, with challenges in achieving a stable continence mechanism.
- Despite complications, the potential for enhanced quality of life justifies continued clinical trials in selected patients.