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Follow-up of the remaining bladder after supravesical urinary diversion
E A Granados1, J Salvador, J Vicente
1Chief Section of Urologic Endoscopy, Puigvert Foundation, Barcelona, Spain.
Objectives:
To review our experience in 14 patients who underwent supravesical urinary diversion maintaining their defunctionalized bladder in situ.
Methods:
A variety of pathological entities indicated surgery, including neurogenic bladder, urinary tuberculosis (with severely contracted bladder), interstitial cystitis, and retroperitoneal fibrosis.
Results:
Global analysis revealed a total of 11 patients (78.5%) who presented complications, the most frequent being mucopurulent and bloody secretions (28.5%), and painful bladder spasms (14.2%), followed by hemorrhage, pyocystis, hypogastric or urethral pain, and sepsis.
Conclusion:
Two patients (14.2%) required hospitalization for treatment of complications. The majority of complications were treated successfully with bladder irrigations and antibiotics. One patient required total cystectomy secondary to pyocystis.