Related Experiment Videos
[Ureterosigmoidostomy in adults: long term results]
A E Mottaz1, E J Zingg, U E Studer
1Clinique Universitaire d'Urologie, Berne, Suisse.
Summary
Ureterosigmoidostomy offers good long-term functional results for bladder cancer patients, with high rates of continence and satisfactory quality of life. Careful follow-up is crucial for managing potential complications.
Area of Science:
- Urology
- Oncology
- Surgical Outcomes
Context:
- Ureterosigmoidostomy is a surgical procedure for urinary diversion in patients with invasive bladder cancer.
- Long-term outcomes and quality of life following this procedure require thorough evaluation.
Purpose:
- To assess the long-term complications and functional outcomes of ureterosigmoidostomy in patients with invasive bladder cancer.
- To evaluate continence and quality of life in patients who survived over 5 years post-surgery.
Summary:
- This study reviewed 65 patients who underwent ureterosigmoidostomy between 1971 and 1992.
- Early complications included pyelonephritis and acidosis; late complications involved pyelonephritis, stenosis, acidosis, incontinence, and anastomotic cancer.
- Among 26 patients surviving over 5 years, 88% reported daytime continence, 54% nighttime continence, and 92% satisfactory quality of life.
Impact:
- Provides valuable long-term data on ureterosigmoidostomy, serving as a benchmark for comparing newer urinary diversion techniques.
- Highlights the importance of careful follow-up to optimize functional results and patient well-being after ureterosigmoidostomy.