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Urinary Undiversion in Young Adults
Author(s) -
CUMMING J.,
COX R.,
WOODHOUSE C. R. J.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb09159.x
Subject(s) - medicine , anastomosis , surgery , occult , urinary system , urinary diversion , urinary bladder , stenosis , neurogenic bladder dysfunction , urology , cystectomy , bladder cancer , alternative medicine , pathology , cancer
Summary— Eighteen patients who underwent urinary diversion in childhood were undiverted. There were three main groups: the neurologically intact bladder, the neuropathic bladder and the “occult” neuropathic bladder. The simplest procedure of anastomosing the proximal ureters to the distal ureters was preferred. The neuropathic group required excision of the bladder remnant and substitution with detubularised bowel. In four patients the renal function was progressively deteriorating pre‐operatively and two have required transplants. Renal failure in one of these patients was accelerated by a post‐operative anastomotic stenosis and infection, although his early post‐operative course was uneventful.