PTU - Polskie Towarzystwo Urologiczne
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THE „INDIANA POUCH\" TIGHT ILEOCAECAL BLADDER — OWN EXPERIENCES IN EIGHT CASES
Article published in Urologia Polska 1991/44/1.

authors

Jan Szymanowski, Andrzej Stokłosa, Ewa Koźmińska
Z Oddziału Urologicznego Szpitala Bielańskiego w Warszawie Kierownik Oddziału: dr n. med. J. Szymanowski

summary

Therapeutic results are presented in 8 cases of radical cystectomy done for bladder cancer in which urinary diversion was provided by creation of a tight intestinal bladder. The operation was done by the method of R. G. Rowland using the caecum with a part of the ileum and a part of the ascending colon. The ureters were implanted by the antireflux method.
Two patients died of causes not connected with the operation, in the remaining cases no significant postoperative complications were observed and no Supplementary corrective operations were needed. After a mean follow-up of 10.1 months the condition of the surviving 6 patients is satisfactory and urine flow is very good.

references

  1. 1. Bricker E.: Blader substitution after pelvis evisceration, Surg. Clins. N. Am., 1950, 30, 1511. —
  2. 2. Camey M., Le Duc A.: L\\\\\\\\\\\\\\\'enterocystoplastie avec cystoprosta-tectomie totale pour cancer de la vessie. Annls Urol., 1979, 13, 114.
  3. 3. Coffey R.: Physiologic implantation of the severed ureter or common bile-duct into the intestine. J. Am. Med. Ass., 1988, 56, 397.
  4. 4. Gilchrist R.: Construction of a substitute blader and urethra. Surg. Gynec. Obstet., 1950, 90, 752. —
  5. 5. Kock N., Nilson A,: Urinary diversion via a continent ileal reservoir, clinical results in 12 patients. J. Urol., 1982, 128, 469.
  6. 6. Mazurek L„ Salska Z.: Ponadpęcherzowe odprowadzenie moczu za pośrednictwem szczelnego pęcherza jelitowego. Urol. Pol.,1984, 37, 2, 111.
  7. 7. Rowland R., Mitchell M.: The cecoileal continent urinary
  8. reservoir. Wld. J. Urol., 1985, 3, 185.
  9. 8. Rowland R., Mitchell M.: Indiana continent urinary reservoir. J. Urol., 1987, 137, 1136.
  10. 9. Sullivan H., Gilchrist R.:Ileocecal substitute bladder, long-term follow up. J. Urol., 1973, 109, 43. —
  11. 10. Sto-mey T.: 1987 Monographs in: Urology, 1987, 8, 3, 53.
  12. 11. Bejany D., Politano V.: Nontuneled ureterocolonic anastomosis: an alter-native to the tuneled implantation. J. Urol., 1989, 142, 961. 12. Lieskowsky G., Skinner D.:Management of late complications of the Kock Pouch form of urinary diversion. J. Urol., 1987, 137, 1146. —
  13. 13. Szymanowski J., Stokłosa A., Koźmińska E.: Szczelny krętniczo-kątniczy pęcherz moczowy Indiana Pouch jako odprowadzenie moczu po cystektomii radykalnej z powodu raka pęcherza moczowego. Urol. Pol., 1989, 42, 3, 178.

correspondence

dr med. Jan Szymanowski, 01-809 Warszawa, ul. Cegłowska 80, Szpital Bielański.