Ces Urol 2001, 5(3):30-34 | DOI: 10.48095/cccu2001028

Fifteen years clinical experience with continent derivation of urine into colon

J. Marenčák¹, V. Davinič², R. Moro¹, M. Jurica¹, T. Púllová¹

¹ Urologické oddelenie NsP Skalica

² Chirurgické oddelenie NsP Skalica

The authors evaluate personal clinical experiences with ureterointestinal anastomosis in continent urine derivation into colon and they compare their results with others. They analyze retrospectively 39 patients (78 ureterorenal units) who underwent continent urine derivation. Urine derivation by simple ureterosigmoideostomy without intestinal segment detubularization was performed by 21 out of 39 (53,8 %) patients and by 18 out of 39 (46,2 %) urine derivation by sigmoideorectal pouch - Mainz pouch II. It has been statistically proved significantly (under 0,05) higher appearance of subsequent pyelonephritis and worsening renal funtion, higher number nephrostomies necessary for urine derivation as well as high rate of night time urine incontinence by patients with simple ureterosigmoideostomy compared to patients with urine derivation by rectosigmoideal pouch (Mainz II). Creation of low-pressure, high-capacity reservoir of urine is a basic presumption to prevent complications in ureterointestinal anastomosis location. The authors also evaluate possibilities of dispensation patients with continent urine derivation into colon.

Keywords: Continent urine derivation into colon, Detubularization of colon, Ureterointestinal anastomosis, Dispensation of the patients

Published: June 1, 2001