A Case of Ureteroileocecal Sigmoidostomy with Sigmoid J Pouch / 대한비뇨기과학회지
Korean Journal of Urology
; : 1406-1410, 1999.
Article
en Ko
| WPRIM
| ID: wpr-201356
Biblioteca responsable:
WPRO
ABSTRACT
We performed a case of ureteroileocecal sigmoidostomy in a 56-year-old female patient who had transitional cell carcinoma of the bladder(pT3aNoMo, grade III, mutiple, papillary). Both ureters were anastomosed to the ileal end of the ileocecal segment and colonic end was anastomosed to the J pouch of the sigmoid colon. At 7 months postoperatively, the intraluminal pressure of the pouch is 20 cmH2O in supine position, 40 cmH2O in sitting or squatting position, 90-100 cmH2O on voiding. No visible reflux of fecal and urinary stream into upper urinary tract was observed on both antegrade and retrograde pouchgraphy. No ectatic changes of upper urinary tract was seen on excretory urography until 36 months postoperatively. There was no changes in CBC, liver function, renal function and serum electrolytes. Even though there had been no febrile attack without any antibiotic medications during follow-up period, bilateral renal scarring was observed on CT films of postoperative 24 months. Continuous suppressive dose of sulfamethoxazole- trimethoprim was started. She passes urine in diarrhea pattern every three to four hours and has no leakage in night time. She satisfies with status of voiding at present after 30 months postoperatively. No visible reflux into upper urinary tract from the pouch is identified, ascending infection could not be prevented by this antireflux method only. This procedure can be an alternative way of urinary diversion in the era of bladder substitution if ascending infection can be prevented by enforced and more secure procedures to prevent reflux are added.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Colon Sigmoide
/
Trimetoprim
/
Uréter
/
Derivación Urinaria
/
Sistema Urinario
/
Vejiga Urinaria
/
Carcinoma de Células Transicionales
/
Urografía
/
Estudios de Seguimiento
/
Cicatriz
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Urology
Año:
1999
Tipo del documento:
Article