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Further experience with the ileocecal segment in urinary reconstruction
The Journal of Urology
|August 1, 1982
Summary
Urinary reconstruction is possible after ileal loop diversion or cystectomy, with 20 of 23 patients achieving good results. The ileocecal segment offers a viable option for bladder replacement or augmentation.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Urinary diversion, such as ileal loop urinary diversion, is often necessary after cystectomy or for benign conditions.
- Reconstructing normal urinary drainage post-diversion can be challenging but desirable for patient quality of life.
Observation:
- This study evaluated the feasibility and outcomes of urinary reconstruction in selected patients.
- The ileocecal segment was utilized for bladder replacement or augmentation in several cases.
Findings:
- Satisfactory urinary drainage was achieved in 20 out of 23 patients, with follow-up up to 10 years.
- Reconstruction was successful after temporary ileal conduit diversion (benign conditions and radiation injury) and cystectomy for nonurothelial pelvic malignancy.
- The ileocecal segment effectively replaces or augments the bladder, with the ileum accommodating ureteral length needs.
Implications:
- Urinary reconstruction using the ileocecal segment is a successful strategy in selected patients.
- While effective, the ileocecal valve's long-term anti-reflux efficacy is limited, suggesting newer techniques like ileal intussusception may be preferable.