Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Early clinical experience with continent urinary diversion

R J Millard1, Y Wang

  • 1Department of Urology, Prince Henry Hospital, Sydney, New South Wales, Australia.

The Australian and New Zealand Journal of Surgery
|December 1, 1996
PubMed
Summary

The Indiana pouch urinary diversion shows superior continence and fewer complications compared to the Mitrofanoff procedure. Optimal stoma placement for continent urinary diversion is at the umbilicus.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Efficacy of solifenacin in patients with severe symptoms of overactive bladder: a pooled analysis.

Current medical research and opinion·2006
Same author

Duloxetine vs placebo in the treatment of stress urinary incontinence: a four-continent randomized clinical trial.

BJU international·2004
Same author

Clinical efficacy of tolterodine with or without a simplified pelvic floor exercise regimen.

Neurourology and urodynamics·2003
Same author

Autoradiographic localization of tachykinin and calcitonin gene-related peptide receptors in adult urinary bladder.

The Journal of urology·1999
Same author

The aging bladder: morphology and urodynamics.

World journal of urology·1998
Same author

Relationships between lower urinary tract symptoms and bladder outlet obstruction: results from the ICS-"BPH" study.

Neurourology and urodynamics·1998

Area of Science:

  • Urology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Continent urinary diversion offers an alternative to traditional cutaneous diversion.
  • This study reports on a five-year experience with continent diversion techniques.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of the Indiana pouch and Mitrofanoff procedures for continent urinary diversion.
  • To compare the outcomes of these two surgical approaches.

Main Methods:

  • A retrospective review of 29 patients who underwent continent urinary diversion between 1989 and 1994.
  • 24 patients received the Indiana pouch, and 5 patients had a Mitrofanoff-type procedure, with a minimum 12-month follow-up.

Main Results:

Related Experiment Videos

  • The Indiana pouch achieved a 96% continence rate with a mean capacity of 648 mL.
  • Early and late complication rates for the Indiana pouch were 37.5% and 35.5%, respectively, with a lower re-operation rate.
  • Umbilical stoma sites demonstrated no stenosis, unlike right iliac fossa sites. Mitrofanoff procedures had higher complication rates.

    • Conclusions:

    • The Indiana pouch procedure is a superior option for continent urinary diversion compared to the Mitrofanoff procedure.
    • Optimal stoma site selection for continent urinary diversion is the umbilicus to prevent stenosis.