Campos JA

Language: Spanish
References: 37
Page: 19-30
PDF size: 532.94 Kb.

ABSTRACT

Urinary diversion towards intestinal segments for either bladder substitution or repair is mainly indicated in the presence of neoplasm, congenital birth defects or chronic urinary tract infection such as tuberculosis that might give rise to severe dysfunction. A series of four cases is presented with secondary “benign etiology” disease, where the first two cases presented with neurogenic bladder due to high medullary lesion and the rest to direct severe blunt pelvic trauma with the associated bladder and/or lower urinary tract injury. All seriously aggravated by multiple corrective surgical procedure attempts, lead to an almost complete bladder or urethral dysfunction that turn them irreparable. In three of them it was necessary to perform a simple cystectomy and in one, the patient’s own detrusor could be utilized. In those cases of neurogenic bladder disease the surgical procedures employed were non-continent Bricker diversion, a continent UCLA neobladder and a Campos type Pouch for the rest of them. In the first two patients at least two surgical procedures were previously performed and 25 attempts for the case of the neobladder. Satisfactory results were obtained in all patients and were reestablished to a 100% more physiologic life after suffering some of them at least half of their existence.

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