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Urinary tract undiversion.

S J Sheehan, F Duff, E J Guiney

British Journal of Urology

|June 1, 1984

Summary

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Urinary diversion in children with lower urinary tract obstruction can be successfully reversed, preserving renal function and continence in most cases. Long-term follow-up confirms good outcomes after undiversion procedures.

Area of Science:

Pediatric Urology
Nephrology
Surgical Reconstruction

Background:

Lower urinary tract obstruction (LUTO) in children necessitates urinary diversion.
Urinary diversion aims to manage LUTO and preserve renal function.
Reversibility of urinary diversion is crucial for long-term management.

Purpose of the Study:

To evaluate the outcomes of urinary diversion reversal (undiversion) in pediatric patients.
To assess renal function and continence status after undiversion.
To identify factors influencing the success of undiversion.

Main Methods:

Retrospective review of nine children who underwent urinary diversion for LUTO.
Analysis of diversion types (cutaneous ureterostomies, ileal conduit).

Related Experiment Videos

Follow-up assessment of renal function and urinary continence post-undiversion.

Main Results:

Eight of nine children achieved moderate to good renal function post-undiversion.
Eight children regained urinary continence; one experienced mild stress incontinence.
Reasons for undiversion included functional recovery, transplantation, and stomal issues.

Conclusions:

Urinary diversion reversal is a viable option for children with LUTO.
Undiversion can lead to good renal function and urinary continence.
Careful patient selection and follow-up are essential for successful outcomes.