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Continent urinary reservoir formation with transverse colon for patients with pelvic irradiation
Author(s) -
Kato Haruaki,
Igawa Yasuhiko,
Komiyama Itsuki,
Nishizawa Osamu
Publication year - 2002
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2002.00448.x
Subject(s) - medicine , pouch , transverse colon , ureter , stoma (medicine) , urinary diversion , urinary system , surgery , colorectal cancer , bladder cancer , cancer , cystectomy
Background : The creation of a continent transverse colon pouch for patients who had previously received radiation therapy for cervical cancer was attempted.Methods : Three patients underwent construction of a continent urinary reservoir. Approximately 30 cm of a transverse colon segment was isolated for constructing a pouch. A reconfigured colon segment was used in two cases as a continent valve and the appendix was used in one case. Both ureters were implanted submucosally into the pouch in two patients and a reconfigured colon was also used to reconstruct a defect of the ureter in one patient.Results : All patients could catheterize the pouch easily via the cutaneous stoma without incontinence. No complications were noted.Conclusions : In the event that a urinary diversion is necessary for a pateint who has previously had radiation therapy, the transverse colon pouch can be a useful method to improve the quality of life. In addition, versatility of the reconfigured colon segment enables the colon pouch to be adapted to adverse clinical stiuations.