منابع مشابه
Continent Urinary Diversions in Non Oncologic Situations: Alternatives and Complications
Urinary diversion is a detour of the urinary tract. It may be necessary in different scenarios and can either be continent or incontinent, catheterisable or orthotopic. Pathological situations which may demand a urinary diversion are varied and include anatomical, physiological, congenital and traumatic causes, e.g. urethral stenosis and partial or complete urethral disruption; bladder dysfunct...
متن کاملBone and metabolic complications of urinary diversions.
Hyperchloremic metabolic acidosis is a complication of urinary diversion using ileum or colon. Its prevalence ranges from 25% and 46% depending on the procedure used and renal function of the patient. It is a consequence of intestinal fluid and electrolyte exchange between intestinal mucosa and urine. The main mechanism is absorption of ammonium and chloride from urine. Long-term chronic metabo...
متن کاملDisparities in the Use of Continent Urinary Diversions after Radical Cystectomy for Bladder Cancer
Background Radical cystectomy (RC) with ileal conduit (IC) or continent diversion (CD) is standard treatment for high-risk non-invasive and muscle-invasive bladder cancer. Objective Our aim is to study contemporary trends in the utilization of ICs and CDs in patients undergoing RC. Methods Using the National Inpatient Sample 2001-2012, we identified all patients diagnosed with a malignant b...
متن کاملUrinary diversions after cystectomy: the association of clinical factors, complications and functional results of four different diversions.
PURPOSE We present a single institute experience of the four most widely used diversions after cystectomy in 281 patients, with an evaluation of the association between clinical factors, complication rates, functional results, and metabolic complications. MATERIALS AND METHODS Between 1990 and 2005, 281 consecutive cystectomies were performed at our institute. Four different diversions were o...
متن کاملSpontaneous rupture of continent cutaneous urinary diversion after 25 years
Spontaneous rupture of a continent cutaneous urinary diversion is uncommon and diagnosis of this situation requires a high degree of suspicion. In this paper we present a 66-year-old man with continent cutaneous pouch after radical cystoprostatectomy that presented with spontaneous perforation 25 years after surgery. Spontaneous pouch perforation in our case after 25 years emphasizes the need f...
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ژورنال
عنوان ژورنال: Journal of Urology
سال: 2016
ISSN: 0022-5347,1527-3792
DOI: 10.1016/j.juro.2016.02.618