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Related Experiment Videos

Vesicorectostomy revisited

R Rabinowitz, W F O'Donnell, L M King

    The Journal of Urology
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Vesicorectostomy, a bladder-rectum connection, offers a viable urinary diversion. Long-term follow-up shows it preserves renal function and quality of life, despite potential anastomosis stenosis.

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    Area of Science:

    • Urology
    • Surgical Procedures
    • Patient Outcomes

    Background:

    • Vesicorectostomy, a permanent bladder-rectum anastomosis, was performed in 7 male patients between 1948-1959.
    • Limited historical reports exist, with no long-term follow-up data available until now.

    Purpose of the Study:

    • To present long-term follow-up data on patients who underwent vesicorectostomy.
    • To evaluate renal function, radiographic outcomes, and quality of life.
    • To assess the long-term safety and efficacy of this urinary diversion method.

    Main Methods:

    • Long-term follow-up of 7 male patients who underwent vesicorectostomy.
    • Assessment included renal function tests, excretory urography, and voiding cystorectography.
    • Quality of life was reviewed retrospectively.

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    Main Results:

    • The most frequent complication observed was stenosis of the anastomosis.
    • No patients with normal preoperative upper urinary tracts experienced post-operative deterioration in renal function or chemistry.
    • The procedure maintained urinary continence and minimized urinary reabsorption.

    Conclusions:

    • Vesicorectostomy is a potentially valuable alternative for urinary diversion in select patients.
    • It preserves upper tract renal function and ureterovesical junction physiology.
    • Consideration of vesicorectostomy is warranted given its long-term benefits and maintained quality of life.