A Study of Clinical Outcome of Double Folded Rectosigmoid Bladder with Extramural Subserous Tunneled Ureterocolonic Anastomosis (Abol-Enein and Ghoneim) for Urinary Diversion.
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Date
2016-01
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Abstract
Background: To study and analyze the clinical outcome of double folded rectosigmoid bladder with extramural
subserous tunnels done in various cases for urinary diversion after cystectomy. Method: Analysis and follow up of 18
cases of double - folded rectosigmoid urinary diversions done in various patients following cystectomy for various
indications in Department of urology, King George Hospital, Vishakapatnam during the period between 2008 - 2009.
Results: There was no deaths or deterioration of the upper tracts recorded in the study group. In early post-operative
period wound infection developed in 4 cases, prolonged ileus was seen in 3 cases, Electrolyte imbalance was seen in 4
cases. Late complications noted, were pyelonephritis in 3 cases, acidosis in 2 cases and hypokalemia in 3 cases. All the
early and late postoperative complications were successfully treated conservatively. Conclusion: Our study has shown
that the double folded rectosigmoid bladder reconstruction is an easier procedure with an easier technique of reimplantation
suited even for dilated ureters with a short operating time and has shown better continence rate with postoperative
complications less in number and severity.
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Keywords
Double folded, Rectosigmoid bladder, Urinary diversion
Citation
Kumar N Anil, Rao C Subba, Gouri S R Sree. A Study of Clinical Outcome of Double Folded Rectosigmoid Bladder with Extramural Subserous Tunneled Ureterocolonic Anastomosis (Abol-Enein and Ghoneim) for Urinary Diversion. Annals of International Medical and Dental Research. 2016 Jan-Feb; 2(1): 319-321.