Combined urinary and fecal diversion using a no bowel anastomosis technique

Joseph A COSTA; Karl J KREDER; James R HOWE

doi:10.1016/S0022-5347(05)65084-7

Back

Combined urinary and fecal diversion using a no bowel anastomosis technique

Journal article

Peer reviewed

Combined urinary and fecal diversion using a no bowel anastomosis technique

Joseph A COSTA, Karl J KREDER and James R HOWE

The Journal of urology, Vol.167(5), pp.2063-2065

2002

DOI: 10.1016/S0022-5347(05)65084-7

PMID: 11956439

View Online

Abstract

Purpose: We present the experience at our institution with combined fecal and urinary diversion using 3 variations of a no anastomosis technique that avoids bowel anastomosis. Materials and methods: The charts of 10 female and 2 male patients who underwent the no bowel anastomosis technique were identified and reviewed. Information on the etiology of urination and defecation abnormalities, surgical resolution, complications, hospital stay and other pertinent aspects of management were retrospectively reviewed. Results: Mean patient age was 64 years (range 36 to 83). Of the 12 patients 7 had a history of cancer treated with external beam radiotherapy, while 4 had neurological disorders with combined fecal and urinary incontinence or a history of colostomy. Mean hospital stay was 14.6 days (range 6 to 31) and mean followup was 26.6 months (range 14 to 52). There were no postoperative deaths, although a nonQ wave myocardial infarction occurred in 1 patient. Conclusions: The no anastomosis technique of combined diversion is recommended in patients with preexisting or planned diversion of the fecal stream. Avoidance of bowel anastomosis makes this technique especially advantageous in those with a history of radiotherapy.

Biological and medical sciences

Medical sciences

Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases

Surgery of the urinary system

Details

Title: Subtitle: Combined urinary and fecal diversion using a no bowel anastomosis technique
Creators: Joseph A COSTA - Departments of Urology and Surgery, University of Iowa, Iowa City, Iowa, United States
Karl J KREDER - Departments of Urology and Surgery, University of Iowa, Iowa City, Iowa, United States
James R HOWE - Departments of Urology and Surgery, University of Iowa, Iowa City, Iowa, United States
Resource Type: Journal article
Publication Details: The Journal of urology, Vol.167(5), pp.2063-2065
Publisher: Lippincott Williams & Wilkins; Hagerstown, MD
DOI: 10.1016/S0022-5347(05)65084-7
PMID: 11956439
ISSN: 0022-5347
eISSN: 1527-3792
Language: English
Date published: 2002
Academic Unit: Surgery; Obstetrics and Gynecology; Urology
Record Identifier: 9984051510002771

Metrics

31 Record Views

8 Times Cited - Web of Science