Journals / Üroloji Bülteni / 1999 / Cilt: 10 - Sayı: 2
Indiana pouch as a choice of continent reservoir in exstrophia vesica patients with contracted bladders due to unsuccessful repairs
- Journal
- Üroloji Bülteni
- Pages
- 83–87
- DOI
- —
Abstract
Objective: To review the outcome of Indiana pouch operations in exstrophia vesica patients with contracted bladders due to unsuccessful repairs. Patients and Methods: Between December 1995 and May 1998, Indiana pouches were formed in 10 bladder exstrophy cases who had late closures or had been diverted by conduits and with contracted bladders or irreparable bladder necks. The ages of the patients ranged between 7 and 34 years with a median of 14. Results: Continence and sufficient reservoir capacity were achieved in all patients. Except one case who restored easy catheterisation after stoma revision, none of the patients had difficulties in catheterisation. Early complications were noted as suprapubic wound dehiscence in 2 patients, prolonged urine leak in 2, acute pyelonephritis in 1, partial intestinal obstruction in 1 and mild hydroureteronephrosis in 1 case. Except stone formation in the reservoir in 2 cases and stomal stenosis in 1, no postoperative late complications were seen. Conclusion: Indiana pouch is a good choice of continent urinary diversion in bladder exstrophy cases with contracted bladders due to unsuccessful operations, with its simplicity and high continence and low complication rates.
Özet
Ekstrofi vezikada gegirilmis basansiz ameliyatlara bagh kontrakte mesanesi bulunan olgularda bir kontinan diversiyon segenegi olah Indiana posu uygulamasi sonuglannin gozden gegirilmesi. Hastalarve Vonfem/'Aralik 1995 ve Mayis 1998 arasinda, mesane kapatilmasinda gecikilmis, konduit tipi diversiyon yapilmis, gegirilmis basansiz ameiiyatlara bagli mesanesi kontrakte olmus ya da mesane gikimi onanlamayacak durumda olan 10 ekstrofi vezikaolgusuna Indiana po§u uygulandi. Hastalann yaslari 7 ile 34 yil arasindadir (ortanca, 14 yil). Bulgular: Turn olgularda kontirlans saglanmi? ve yeterli kapasiteye ulasilmistir. Stoma revizyonu sonrasinda diizelen bir olgu disirida higbir hastada kateterizasyon zorlugu olmami§tir. Erken komplikasyonlar, 2 olguda suprapubik yara agilmasi, 2 olguda uzami§ idrar drenaji, 1 olguda akut piyelonefrit, 1 olguda parsiyel intestinal dbstruksiyon ve 1 olguda hafif bilateral hidroureteronefroz olarak belirlenmi§tir. iki olguda gorulen pos igerisinde ta§ olu§umu ve 1 olguda gelisen stoma darligi disinda geg komplikasyon gorulmemi§tir. Sonug: Indiana posu gegirilmi§ basansiz ameliyatlara bagli mesaneleri kontrakte olmus ekstrofi olgulannda, ogrenmesi kolay, basit teknikle uygulanan, kontinans orani yiiksek ve komplikasyon oranlan kabul edilebilir duzeylerde olah bir kontinan diversiyon segenegidir.