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Continent ileocecal diversion with an unaltered in situ appendix conduit
N Simforoosh1, M R Razzaghi, A K Danesh
1Department of Urology, Shahid Labbafi Nejad and Shohada Hospitals, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
The Journal of Urology
|March 21, 1998
Summary
This study shows that using an unaltered appendix for continent urinary diversion is safe and effective. This technique offers a timesaving alternative for achieving urinary continence.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Continent urinary diversion is a surgical procedure to restore bladder function.
- Minimizing operative manipulation is crucial for reducing complications.
Purpose of the Study:
- To evaluate the efficacy of using an unaltered, in situ appendix for continent urinary diversion.
- To reduce the risk of complications associated with appendicocolic manipulation.
Main Methods:
- Continent urinary diversion was performed using an ileocecal segment and an unaltered, in situ appendiceal conduit in 19 patients.
- One patient with a permanent colostomy underwent appendix transposition to the ileal pouch as a conduit.
Main Results:
- After a mean follow-up of 12 months, 17 out of 19 patients achieved complete day and night continence.
- Two patients experienced occasional nighttime incontinence.
- One patient with prior multiple surgeries achieved continence after endoscopic polytetrafluoroethylene (Teflon) injection at the appendicocecal junction.
Conclusions:
- The unaltered in situ appendix technique is a safe and effective method for urinary continence.
- This approach is timesaving and comparable to other continent urinary diversion techniques.