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Related Experiment Videos

Urinary undiversion in adults

H R Goldstein, T W Hensle

    The Journal of Urology
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Total urinary reconstruction in 7 adults with various urinary diversions achieved social continence in all patients. Most patients were free of vesicoureteral reflux and maintained renal function post-reconstruction.

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    Area of Science:

    • Urology
    • Surgical Reconstruction
    • Pediatric Urology

    Background:

    • Urinary diversion in adults presents complex reconstructive challenges.
    • Conditions necessitating urinary diversion include obstruction, myelodysplasia, and vesicoureteral reflux.

    Observation:

    • Seven adult patients with diverse urinary diversion pathologies underwent total reconstruction.
    • Preoperative evaluation included radiologic, endoscopic, urodynamic, and physiologic testing.
    • Follow-up ranged from 12 to 36 months.

    Findings:

    • 5 of 7 patients (71%) were free of vesicoureteral reflux post-reconstruction.
    • Renal function was maintained in 5 of 7 patients (71%).
    • All 7 patients achieved social continence, with 3 utilizing clean intermittent catheterization.

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    Implications:

    • Total urinary reconstruction is a viable option for select adult patients with complex urinary diversion issues.
    • Careful preoperative assessment is crucial for successful surgical outcomes.
    • Reconstruction can restore renal function and achieve social continence, significantly improving quality of life.