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Titolo:
Serous lined extramural ileal valve: A new continent urinary outlet
Autore:
Abol-Enein, H; Ghoneim, MA;
Indirizzi:
Univ Mansoura, Urol & Nephrol Ctr, Mansoura, Egypt Univ Mansoura Mansoura Egypt soura, Urol & Nephrol Ctr, Mansoura, Egypt
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 3, volume: 161, anno: 1999,
pagine: 786 - 791
SICI:
0022-5347(199903)161:3<786:SLEIVA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTIREFLUX TECHNIQUE; DIVERSION; RESERVOIR; BLADDER; APPENDIX; POUCH; RECONSTRUCTION; EXPERIENCE; TUNNEL; DOGS;
Keywords:
urinary diversion; ileum; urinary reservoirs, continent;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Abol-Enein, H Univ Mansoura, Urol & Nephrol Ctr, Mansoura, Egypt Univ Mansoura Mansoura Egypt Nephrol Ctr, Mansoura, Egypt
Citazione:
H. Abol-Enein e M.A. Ghoneim, "Serous lined extramural ileal valve: A new continent urinary outlet", J UROL, 161(3), 1999, pp. 786-791

Abstract

Purpose: We report the functional results following the use of serous lined extramural valve as an antireflux technique and urinary outlet for continent urinary diversion. Materials and Methods: The procedure was performed in 18 men and 5 women. The technique entails fashioning 2 serous lined extramural troughs in a detubularized W-shape ileal reservoir. A tapered ileal segment is embedded in 1 trough as an antireflux valve and the ureters are anastomosed to its proximal end. Another tapered ileal segment or the appendix is embedded in the second trough and acts as a continent cutaneous outlet. Results: No operative or postoperative mortality was observed. One patienthad prolonged ileus which was treated conservatively. All patients were evaluable with a mean followup of 19 months. All patients but 1 were continent day and night. No catheterization difficulties were reported. Evacuation intervals were 4 to 5 hours. Radiographic evaluation demonstrated a continent compliant reservoir, stable and straight outlet, and absence of pouch and ureteral reflux. Conclusions: This procedure is technically feasible, surgically versatile,applicable for urinary diversion or conversion and associated with satisfactory outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 01:47:19