INTRODUCTION The purpose of this study is to determine if administration of total parenteral nutrition (TPN) immediately following radical cystectomy and urinary diversion provides significant recovery benefit when compared to patients who did not receive TPN. METHODS Retrospective chart review was performed on patients who underwent open radical cystectomy and urinary diversion from February...

Urologists are aware of the increased risk of adenocarcinoma in urinary diversions that mix urine and feces, such as ureterosigmoidostomy.1 There are also several published case reports of this occurring in isolated bowel segments that are used for urinary reconstructions after cystectomy for several diseases, both benign and malignant. Here, we update a previous case report of an adenoma in an...

Aims of study: Diabetic bladder dysfunction (DBD), a collective description of clinical symptoms including decreased sensation, increased capacity, poor emptying, and also detrusor overactivity, is among the most common and costly complications of diabetes mellitus (DM). It is estimated that DBD occurs in approximately 87% of individuals diagnosed with DM, and substantially affects quality of l...

Objective: To analyze treatment strategies for patients with advanced cervical carcinoma with obstructive renal failure after the failure of retrograde ureteral stent placement. Methods: We retrospectively analyzed 68 cases of advanced cervical cancer secondary with ureteral obstruction and had difficulty in indwelling retrograde ureteral stent in recent 7 years (from January, 2008 to June, 201...

Ureteral diversion in which the ureter is implanted into either the sigmoid colon or a short loop of ileum is associated with multiple metabolic complications [1,2]. Ureterosigmoidostomy commonly leads to metabolic acidosis due to the presence of colonic anion exchange pumps that reabsorb luminal chloride as bicarbonate is secreted across the sigmoid colon. In such cases, reabsorption of urinar...

Most of the publications regarding laparoscopic radical cystectomy (LRC) have reported the institutions' initial experience focusing on technique and perioperative results. Increasing experience from major medical centers worldwide indicates increasing interest and expertise with LRC. In this manuscript, initial laboratory experience, contemporary series, current controversies, and future direc...

During the last decades, the techniques of urinary diversion after radical cystectomy for muscle-invasive bladder cancer have evolved from simple diverting techniques through a conduit to the orthotopic neobladder reconstruction thus providing a safe and continent reservoir to store and eliminate urine with efforts to provide an improved quality of life [1]. Sir John Simon is credited with perf...

Bladder cancer is one of the most frequent human cancers. In 2011 more than six thousand people in Poland developed BC and more than three thousand died because of it. Treatment of bladder cancer depends on its stage. In less advanced tumours (Ta, Tcis, T1) transurethral resection of bladder tumor with adjuvant immunotherapy is often therapeutic. In more advanced cases (≥ T2) radical cystectomy...

We report on a patient with ureterosigmoid anastomosis, who presented with recurrent episodes of confusion, agitation and aggressive behaviour, culminating in coma. Investigations revealed profound hyperammonaemia, which responded to treatment with sodium benzoate and sodium phenylacetate. No definite cause was found for the abnormality, apart from possible urinary tract infection. The patient ...

PURPOSE Examine the beneficial effect of early nasogastric tube (NGT) removal in patients undergoing radical cystectomy with urinary diversion. PATIENTS AND METHODS 43 consecutive patients underwent radical cystectomy with urinary diversion and were randomized into 2 groups. In the intervention group (n = 22), the NGT was removed 12 hours after the operation. Comparatively, in the control gro...