[Clinical study of detenia cecal-ascending colon continent cutaneous urinary reservoir].

OBJECTIVE

To construct a good continent urinary diversion which is easy to be performed and has a low incidence of complications.

METHODS

26 cases of bladder cancer were given radical cystectomy before the cecal-ascending colon was excluded and 15-20 cm of the cecal-ascending colon was isolated. The colon teniae were then incised at the interval of 0.5-1.0 cm to construct the detenia cecal-ascending colon continent urinary diversion open to the umbilicus.

RESULTS

All the patients were followed up for 21.1 +/- 10.1 months. Reliable continence was achieved in all with a low incidence of complications. The capacity of the reservoirs reached 350-600 ml 6 month after operation. Self catherizations were carried out every 3 to 6 hours, Urodynamic data showed a mean maximum filling pressure of 58.7 +/- 24.5 cmH2O, and a mean maximum urethral (efferent) closure pressure of 104.3 +/- 33.8 cmH2O.

CONCLUSION

Detenia cecal-ascending colon continent urinary diversion is an ideal method.