Table Of ContentCover
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Urinary Diversion
Second Edition
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Urinary Diversion
Second Edition
Edited by
Karl J Kreder MD FACS
Professor and Clinical Vice Chair, Director of Urodynamics and
Reconstructive Urology, Department of Urology
University of lowa Hospitals and Clinics, lowa City, IA, USA
Anthony R Stone MD
Professor and Vice Chair, Director of Urology, Department of Urology
University of California, Davis, Sacramento CA, USA
LONDON AND NEW YORK
A MARTIN DUNITZ BOOK
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© 2005 Taylor & Francis, an imprint of the Taylor & Francis Group
First published in the United Kingdom in 2005
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Contents
List of Contributors viii
Foreword xiii
Acknowledgements xiv
Preface to the Second Edition xv
Preface to the First Edition xvi
SECTION I: INTRODUCTION
1. History of urinary diversion techniques 1
George D Webster and Andrew C Peterson
2. Anatomy of the stomach, small and large bowel as it applies to urinary tract reconstruction 21
Jacob Ramon
SECTION II: PHYSIOLOGICAL CONSIDERATIONS OF THE USE OF BOWEL SEGMENTS IN THE URINARY TRACT
3. Metabolic implications and electrolyte disturbances 29
Cigdem Tanrikut and W Scott McDougal
4. The mechanics of tubular and detubularized bowel for bladder substitution 35
Morten ColdingJørgensen and Kenneth Steven
5. Bacteriuria in patients with reconstructed lower urinary tracts 43
Björn Wullt and Wiking Månsson
6. Structural and functional changes of the gastrointestinal mucosa in contact with urine 53
Wiking Månsson, Thomas Davidsson and Roger Willén
7. Renal function considerations in bladder substitution 67
Jens Christian Djurhuus, Troels Munch Jørgensen and Jørgen Frøkiær
8. Bone mineralization after urinary diversion 81
Thomas Davidsson, Karl Obrant, Birger Lindergård
9. Problem of secondary malignancy after urinary diversion and cystoplasty 91
Jerilyn M Latini and Karl J Kreder
10. Effect of enterocystoplasty on skeletal development in children 109
Mike Minh Nguyen and Eric A Kurzrock
11. Bowel dysfunction following enterocystoplasty 115
Stephen D Mark and George D Webster
SECTION III: ORTHOTOPIC BLADDER REPLACEMENT
12. Nomenclature classification of urinary diversion 121
Christopher Chapple and Richard TurnerWarwick
13. Patient selection criteria for orthotopic bladder replacement 129
Steven R Mindrup and Badrinath R Konety
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14. Ileal neobladders: Camey II, Hautmann, Kock 135
E James Wright
15. Ileal reservoir 143
Fiona C Burkhard, Celi Varol and Urs E Studer
16. Ileocolonic reservoirs: Orthotopic Mainz Pouch I, Le Bag 151
Joachim W Thüroff
17. Bladder replacement with detubularized right colon 161
Tamsin Greenwell, Daniela Andrich and Anthony Mundy
18. Sigmoid neobladder 171
Jerilyn M Latini
19. The gastric continent urinary reservoir 179
Pasquale Casale, Mark Horowitz and Michael E Mitchell
20. Orthotopic bladder replacement in women 189
Cheryl T Lee and James E Montie
21. Bowel and bladder replacement after total pelvic exenteration 197
Anne K Schuckman, John Stein and Donald G Skinner
22. Voiding function and continence following orthotopic diversion 205
Kilian Walsh
SECTION IV: CONTINENT URINARY DIVERSION TO AN ABDOMINAL STOMA
23. The continent Kock and Tpouch reservoirs: crossover techniques 213
John P Stein and Donald G Skinner
24. Continent urostomy with hydraulic valve 235
Abdellatif Benchekroun
25. Right colon reservoir using a tapered ileal outlet 243
Randall G Rowland and Andrew C McGregor
26. The Mitrofanoff principle in continent urinary diversion 253
Christopher S Cooper and Howard M Snyder, III
27. In situ modification of the Mitrofanoff principle in adult patients 261
Elmar W Gerharz and Hubertus Riedmiller
28. The Monti principle in continent urinary diversion 269
Padraig S J Malone, Ramesh Babu and Martin A Koyle
SECTION V: TECHNIQUES THAT USE THE ANUS FOR CONTINENCE
29. Ureterosigmoidostomy and Mainz pouch II 275
Margit Fisch, Joachim W Thüroff and Rudolf Hohenfellner
30. Urinary diversion to the modified rectal bladder: an anal sphinctercontrolled bladder substitute 285
Hassan AbolEnein and Mohamed A Ghoneim
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SECTION VI: PREVENTION OF REFLUX
31. Is reflux prevention necessary in urinary diversion? 297
Michael L Guralnick
32. Reflux prevention with intussuscepted nipple valves and tunnels 307
Arthur C Grabowski and Lesley K Carr
33. The Le Duc—Camey method for reflux prevention 319
Alain Le Duc and Maurice Camey
34. Use of the splitcuff nipple technique for ureteral reimplantation 325
Regina Hovey and Anthony R Stone
SECTION VI: CONDUIT URINARY DIVERSION
35. Ileal conduit urinary diversion 331
Christopher E Iselin
36. Colon conduit diversion and special considerations in radiated patients 343
Joseph A Costa
37. Special considerations in neurogenic bladder patients 349
Thiagarajan Nambirajan and Ian K Walsh
38. Troubleshooting the problematic patient after conduit urinary diversion 355
Vincent Tse
39. Laparoscopic bladder augmentation and urinary diversion 363
Raymond R Rackley, Joseph B Abdelmalak, Ahmed S ElAzab, Sandip P Vasavada and Inderbir S Gill
Index 377
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Contributors
Joseph B Abdelmalak MD
Glickman Urologic Institute
Cleveland Clinic Foundation
Cleveland, OH, USA
Hassan AbolEnein MD PhD
Professor of Urology
LJrology and Nephrology Center
Mansoura, Egypt
Daniela Andrich MD MRCS
Institute of Urology
London, UK
Ramesh Babu MS MCH FRCS (Paeds)
Specialist Registrar in Paediatric Urology
Department of Paediatric Urology
Wessex. Regional Centre for Paediatric Surgery
Southampton University Hospitals NHS Trust
Southampton, UK
Abdellatif Benchekroun MD
Professor
Department of Urology
Hospital Avicenne
Rabat R.P., Morocco
Fiona C Burkhard MD
Department of LJrology
University of Berne
InselspitalAnna SilerHaus
Berne, Switzerland
Maurice Camey
Professor of Urology (retired)
Paris, France
Lesley K Carr MD FRCS(C)
Medical Director, Women’s Pelvic Health Centre
Division of Urology
Sunnybrook and Women’s College Health Science Centre
Toronto, Ontario, Canada
Pasquale Casale MD
Assistant Professor of Urology
University of Pennsylvania
Children’s Hospital of Philadelphia
Division of Pediatric Urology
Philadelphia, PA, USA
Christopher Chapple BSc MD FRCS(Urol)
Consultant Urological Surgeon
Department of Urology
Royal Hallamshire Hospital
Sheffield, UK
Lise L Christensen MD
Institute of Experimental Clinical Research and Department of
Urology
Skejby Hospital
University Hospital in Aarhus
Aarhus, Denmark
Morten ColdingJørgensen MD MSc
Department of Medical Physiology
The Panum Institute
University of Copenhagen
Copenhagen, Denmark
Christopher S Cooper MD
Associate Professor
Director, Pediatric Urology
The University of Iowa
Iowa City, IA, USA
Joseph A Costa MD
Assistant Professor of Surgery
University of Florida College of ‘Medicine
Head, Section of reconstructive Surgery and Neuourology
University of Florida shands Jacksonville
Jacksonville, FL, USA
Thomas Davidsson MD PhD
Associate Professor
Department of Urology
University Hospital Lund
Lund, Sweden
Jens Christian Djurhuus MD
Professor of Clinical Surgery
Institute of Experimental Clinical Research
University of Aarhus
DK8200 Aarhus North
Denmark
Ahmed S ElAzab MD
Clinical Research Fellow
Section of Female Urology and Voiding Dysfunction
Glickman Urologic Institute
Cleveland Clinic Foundation
Cleveland, OH, USA
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Margit Fisch MD
Professor of urology
Center of Urology and Pediatric Urology Hamburg
Allgemeines Krankenhaus Harburg
Hamburg, Germany
John A Freeman MD
Medical Director
Nevada Urology Associates
Reno, NV, USA
Jorgen Frokiaer MD
Consultant in Clinical Physiology
Institute of Experimental Clinical Research
Department of Clinical Physiology/Nuclear Medicine
Skejby Hospital
University Hospital in Aarhus
Aarhus, Denmark
Elmer W Gerharz MD
Associate Professor of Urology
Department of Urology
Julius MaximiliansUniversity Medical School
Würzburg, Germany
Mohamed A Ghoneim MD PhD
Urology and Nephrology Center
Mansoura University
El Mansoura, Egypt
Inderbir S Gill MD MCh
Glickman Urologic Institute
Cleveland Clinic Foundation
Cleveland, OH, USA
Arthur C Grabowski MD
Sunnybrook & Women’s College
Health Science Center
Toronto, Ontario, Canada
Tamsin Greenwell MD FRCS (Urol)
Consultant Urological Surgeon
Institute of Urology
London, UK
Michael Guralnick MD FRCSC
Assistant Professor
Department of Urology
Medical College of Wisconsin
Milwaukee, WI, USA
Rudolf Hohenfeller MD
Head Professor of Urology
University of Mainz
Department of LJrology
Mainz, Germany
Mark Horowitz MD
Assistant Professor, Pediatric Urology
Director, Pediatric Voiding Dysfunction Center &
Urodynamics Laboratory
Weill Medical College of Cornell University
New York Presbyterian Hospital
New York, NY, USA
Regina Hovey MD
UCI Medical Center
University of California
Irvine, CA, USA
Christopher Iselin MD
Clinique D’Urologie
Geneva, Switzerland
Troels Munch Jørgensen MD
Department of Urology
Section of Pediatric Urology
Aarhus University Hospital
Aarhus, Denmark
Badrinath Konety MD MBA
Assistant Professor of Urology and Epidemiology
Department of Urology
University of Iowa
Iowa City, IA, USA
Martin A Koyle MD
Professor or Surgery and Paediatrics
Chairman, Department of Paediatric LJrology
University of Colorado Health Sciences Center and
The Children’s Hospital
Denver, CO, USA
Karl J Kreder MD FACS
Professor and Clinical Vice Chair
Director of Urodynamics and Reconstructive Urology
Department of Urology
University of Iowa Hospitals and Clinics
Iowa City, IA, USA
Eric A Kurzrock MD
Assistant Professor of Pediatrics and Urology
Chief of Pediatric LJrology
University of California Davis Children’s Hospital
Department of Urology
Sacramento, CA, USA
Jerilyn M Latini MD
Fellow, Female and Reconstructive Urology
Department of Urology
University of Iowa
Iowa City, IA, USA