García-Irigoyen C, Manzanilla-García, Jaspersen-Gastellum J

Language: Spanish
References: 13
Page: 124-131
PDF size: 217.86 Kb.

ABSTRACT

The cases of two patients, one female and one male, presently 39 and 18 years old, respectively, who underwent cecum-cystoileum-ureteral anastomosis and their respective 30-year and 17-year follow-up are presented. The female patient presented with vesicoureteral reflux secondary to diminished bladder capacity due to UTb. After antituberculosis treatment, right nephrectomy was carried out. The male patient presented with vesicoureteral reflux secondary to cutaneous vesicostomy and failed bilateral ureter implant postoperative period complication. Left nephrectomy was carried out on non-functioning hydronephrotic kidney. Both patients now have normal urinary control. They have no biochemical or electrolyte alterations, creatinine and glomerular filtering are adequate and there is important reduction of renal cavity dilatation. Their neobladder capacities are satisfactory, between 280 and 400 cc. and both have presented with sporadic symptoms of urinary infection. The female became pregnant at 14 years of age and her pregnancy came to term normally. She underwent cesarean section and salpingo oophorectomy at 38 weeks of pregnancy with a satisfactory postoperative period. Growth and development of the product was normal.
The planned objectives of this surgery are considered to have been accomplished and the long-term quality of life of both patients is very satisfactory.

REFERENCES

1. Carroll PR, Presti JC Jr, McAninch JW, Tanagho EA.Functional characteristics of the continent ileocecal urinary reservoir: mechanics of urinary continence. J Urol. 1989; 142(4):1032-6.

2. Martínez-Martínez L, López-Pereira, Martínez-Urrutia N, Leal-Hernando E, Jaureguízar-Monereo. La ampliación vesical en la reconstrucción del tracto urinario (1985-1997) Cirg Pediatr 1999; 12:94-98.

3. Libertino JA, Zinman L. Ileocecal segment for temporary and permanent urinary diversion. Urol Clin North Am. 1986; 13(2):241-50.

4. Garcia IC. Gutierrez PC. Aranalde BJ Romero F. Cecocistoileouretero anastomosis en tuberculosis. Rev. Mex. Urol. 1975 (4), 273-288

5. Ggilchrist rk, merricks jw, hamlin hh, rieger it. Construction of a substitute bladder and uretra. Surg Gynecol Obstet. 1950; 90(6):752-60.

6. Gil-Vernet JM. Technique for construction of a functioning artificial bladder. J Urol.1960; 83:39-50.

7. Latiff GA, Bejany DE, Politano VA. Closure pressure studies of the tapered ileal segment and reinforced ileocecal valve in continent urinary diversion. Urology. 1994; 43(5):614-6.

8. Alcini E, Racioppi M, D’Addessi A, Sasso F, Alcini A, Giustacchini M. Refluxes in orthotopic neobladder can the ileocecal sphincter be considered an adequate antireflux mechanism? Urology. 1994; 44(1):38-45.

9. Clayman RV. Preventing reservoir calculi after augmentation cystoplasy and continent urinary diversion: the influence of an irrigation protocol. J Urol. 2005; 173(3):866-7.

10. Shaw J, Lewis MA. Bladder augmentation surgery– what about the malignant risk? Eur J Pediatr Surg. 1999; 9 Suppl 1:39-40.

11. Soergel TM, Cain MP, Misseri R, Gardner TA, Koch MO, Rink RC. Transsitional cell carcinoma of the bladder following augmentation cystoplasty for the neuropathic bladder. J Urol. 2004; 172(4 Pt 2):1649-51.

12. Blaivas JG, Weiss JP, Desai P, Flisser AJ, Stember DS, Stahl PJ. Long term followup of augmentation enterocystoplasty and continent diversion in patients with benign disease J Urol. 2005; 173(5):1631-4.

13. Ben-Chaim J, Shenfeld O, Goldwasser B, Shemesh E.Does the use of the ileocecal region in reconstructive urology cause persistent diarrehea? Eur Urol 1995, 27(4): 315-8.