Context: Catheterizable pouches represent a good alternative in patients with continent urinary diversion (CUD) when neobladder reconstruction is contraindicated. Objective: This review summarizes the different techniques, indications and contraindications, functional results, outcomes, and complications of continent catheterizable pouches. Evidence acquisition: A PubMed Medline database resear...

We used laparoscopic radical cystectomy (LRC) with urinary diversion for muscle-invasive bladder cancer. A series of total LRC is presented with Mainz pouch II after we had gained experience of nearly 200 open radical cystectomy and 23 LRC. Since from October 2010 to April 2012, we performed totally LRC in 5 patients with muscle-invasive bladder cancer with Mainz pouch II as a urinary diversion...

PURPOSE Decision making regarding the urethra before and after radical cystectomy due to urothelial carcinoma has always been controversial. To determine whether anterior urethra sparing cystoprostatectomy for bladder cancer is an oncologically-safe procedure, we evaluated the long-term oncologic clinical outcome. PATIENTS AND METHODS A total of 51 male patients with cTa-4N0-2M0 bladder cance...

PURPOSE Women undergoing radical cystectomy (RC) and urinary diversion for bladder cancer experience substantial limitations in health-related quality of life (HRQOL). However, the level of discomfort caused by different urinary diversion has been never evaluated in long term survivors. The aim of this multicenter study is to evaluate differences in HRQOL among recurrence-free women undergoing ...

OBJECTIVE To determine the medium and long-term outcome of orthotopic continent urinary diversion with ileal (Studer) neo-bladder following radical cystectomy. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Surgery, The Aga Khan University Hospital, Karachi, from January 1998 to September 2010. METHODOLOGY Thirty eight patients underwent radical cystectomy for invasiv...

In the case of advanced stage gynecological disorders, most patients have a disturbance in upper urinary tract. Most with uterine cervical carcinoma are already 3B and require urine diversion. The purpose this study is to find determine profile disorders that diversion, type diverted output carcinoma. This descriptive analytical retrospective was conducted at Dr. Soetomo Hospital, Surabaya, Ind...

Smith-Lemli-Opitz syndrome (SLOS) is an inherited autosomal recessive cholesterol deficiency disorder. Our studies have shown that in SLOS children, urinary mevalonate excretion is normal and reflects hepatic HMG-CoA reductase activity but not ultimate sterol synthesis. Hence, we hypothesized that in SLOS there may be increased diversion of mevalonate to nonsterol isoprenoid synthesis. To test ...

Radical cystectomy today is considered one of the most complex and morbid surgical interventions in urology. The application of a minimally invasive approach to radical cystectomy has grown, and excellence centers have published series in which laparo-scopic radical cystectomy (LRC) is associated with lower morbidity and equivalent short–term oncologic results [1]. To date, neobladder substitut...

Despite the many controversies surrounding the proper surgical repair of vesicovaginal fistulas, the current methods available allow surgeons to select the procedure best suited for each specific problem. Because each fistula is unique, surgeons will often be required to individually vary their approach and technique. Regardless of whether a transabdominal or transvaginal approach is selected, ...

The ability of urinary conduits to absorb glucose was investigated. A solution containing 1% glucose and the inert marker phenol red was put into conduits in diabetic and non-diabetic patients. Samples were withdrawn at intervals for analysis and the fall in concentrations plotted against time. The loops in the patients without diabetes did not absorb glucose, but glucose was absorbed in one of...