Long-term results of continent urine derivation on the skin into a detubulized small intestinal reservoir

Resumo

Seventy five patients (48 females, 27 males) at the age of 17 to 78 years (mean age 54.6 years) were radically operated on for locally advanced tumors of the small pelvis organs in the Cancer Research Center of Georgia in 1987-2001. The urine was derived continently on the skin into a detubulized small intestinal reservoir. Invagination valvular device was created in 31 patients, non-invagination (the original technique) - in 44. Conversion of ureterocutaneostomas according to the original technique was made 6-7 months after radical operation in 4 of them. The ureters were transplanted using the antireflux (67) and direct (8) methods. 1-10 follow-up data are available for 52 patients. 4 patients with invagination valve developed postoperative and 2 patients delayed (6-9 months) incontinence. In patients with the original valve incontinence was only in one patient. The difference between the results of antireflux and direct transplantation of the ureters was statistically insignificant.