UPPER URINARY TRACT STATUS FOLLOWING URINARY
DIVERSION ON EARLY POSTOPERATIVE IVP EXAMINATION
Article published in Urologia Polska 1997/50/1.
authors
-
Tomasz Demkow, Wojciech Rogowski, Grzegorz Madej
- Klinika Nowotworów Układu Moczowo-płciowego
Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie
Kierownik Kliniki: prof. dr hab. G. Madej
Kierownik Centrum Onkologii Instytutu: prof. dr hab. A. Kułakowski
keywords
-
urinary tract urinary diversion IVP. examination
summary
- Objective. Upper urinary tract status in 40 patients after urinary diversion has been
- analysed.
- Material and method. Early (up to 30 days) postoperative IVP has been done on each
- patient. 35 patiens underwent cystectomy because of invasive bladder cancer.The ileal
- neobladder described by Studer has been created in 13 cases. The rest of the patients had
- ileal conduit created. In 3 patients with vesico-vaginal fistula (following radioterapy of
- cervical cancer) and in 1 case with colorectal cancer ileal conduit has been done.
- In 1 patient with hyperchloremic acidosis following ureterosigmoidistomy the type of
- derivation has been changed. Upper urinary tract dilatation has been observed in 7
- patients on left-hand side, in 3 patients on right-hand side and in 3 patients on both sides.
- Conclusion. The incidence of upper urinary tract dilatation on early postoperative
- IVP has been found more fre±uently on left-hand side.
references
- [1] Cancrini, A., De Carli, R, et al.:Lower urinary tract reconstruction following cy-
- stectomy: experience and results in 96 patients using the orthotopic ileal bladder
- substitution of Studer et al. Eur. Urol, 1996, 29, 204-209
- [2] Fraizer, H. A., Robertson, i. E., Paulson, D. F.: Complications of radical cystecto-
- my and urinary diversion : a retrospective review of 675 cases in 2 decades. Urol.,
- 1992, 148, 1401-1405
- [3 ] Hauptmann, R., Miller, K.:The ileal neobladder : 6years of experience with more
- than 200 patients. Urol., 1993, 150, 40-45
- [4 ] Montie, E., Wood, D. R: The risk of radical cystectomy. Br. Urol., 1989, 63, 483-486
- [5 ] Montie, J. E. et al.: What are the risk of cystectomy and the advances in periopera-
- tive care?. Int. Urol., 1995, 2, 89-104
- [6] Skinner, D. C, Crawford, E. D., Kaufman, J.: Complications of radical cystectomy
- for carcinoma of the bladder. J. Urol. 1975, 113, 186
- [7] Sullivan, J. W., Crabstald, H., Whitmore, W. F.: Complications of ureteroileal con-
- duit with radical cystectomy: review of 336 cases. Urol. 1980, 124,.797-801
- [8] Svare, J., Steen, W., Kristensen, K., Fleming, L.: Ileal conduit urinary diversion-
- early and late complications. Eur. Urol. 1985, 11, 83-86
|