Patients with ileal continent urinary diversion may present some awkward challenges to internists which have a considerable role in their long-term management. The potential metabolic complications result from both unphysiological exposure of the ileum to urine and decrease in absorbitive bowel capacity. Moreover, a variety of histopathomorphosic changes have been reported in ileal segment beca...

Acute renal failure is a rare complication of retrograde pyelography. We demonstrate a patient who experienced acute renal failure induced by bilateral retrograde pyelography. The possible mechanisms, including renal and post-renal causes, are also discussed. Post-obstructive diuretic phase after early urinary diversion is an evidence of obstructive renal failure. Early urinary diversion also s...

A seven-year-old stallion with diversion of urinary pass to the thigh due to a urethral fistula caused by gunshot perineal injury was presented to the Urmia University, Veterinary Teaching Hospital. No signs of urinary obstruction or renal failure were observed. Because of inaccessible location of the injured urethra, through a perineal urethrotomy incision, a urinary catheter was effectively a...

In a consecutive series of 200 neonates having undergone surgery for open myelomeningocele, 24 of the 106 survivors at 10 to 12 years of age proved to be continent of urine. These figures included 11 children who had considerable neurological involvement. 4 children did not acquire urinary control until after the age of 5 years. Therefore, we consider early urinary diversion in children with my...