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Related Experiment Videos

The defunctionalized bladder

A B Adeyoju1, T H Lynch, J A Thornhill

  • 1Stepping Hill Hospital, Stockport, UK.

International Urogynecology Journal and Pelvic Floor Dysfunction
|July 10, 1998
PubMed
Summary

Retaining the bladder after supravesical urinary diversion may lead to complications like infection and cancer. Long-term monitoring is crucial for female patients to manage these risks effectively.

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Area of Science:

  • Urology
  • Gynecology

Background:

  • Supravesical urinary diversion without cystectomy is a common treatment for lower urinary tract pathologies.
  • The management of these conditions necessitates a thorough understanding of potential complications when the bladder remains in situ.

Purpose of the Study:

  • To review complications associated with a defunctionalized bladder in female patients undergoing supravesical urinary diversion.
  • To identify risk factors and implications for sexual function, pregnancy, and undiversion.

Main Methods:

  • Literature review focusing on complications of the retained bladder after urinary diversion.
  • Analysis of risk factors contributing to bladder-related morbidity.

Main Results:

  • Complications include pyocystis, hemorrhage, pain/spasm, and neoplastic transformation.
  • Risk factors identified are chronic infection, inadequate drainage, interstitial cystitis, and prior irradiation.
  • Long-term follow-up is advised due to the low but present risk of neoplastic change, potentially decades post-diversion.

Conclusions:

  • The defunctionalized bladder presents specific risks in female patients, impacting sexual function, pregnancy, and requiring long-term surveillance.
  • While the incidence of neoplastic change is low, vigilance is essential for early detection and management.

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