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Continent cutaneous urinary diversion in patients with spinal cord injury
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PAZOOKI D; EDLUND C; KARLSSON AK; DAHLSTRAND C; LINDHOLM E; TORNQVIST H; JONSSON O
SPINAL CORD , 2006, vol. 44, n° 1, p. 19-23 Doc n°: 124079 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE21 - ORIGINE TRAUMATIQUE, AH22 - VESSIE NEUROGENE Url : http://www.nature.com/sc/archive/index.html Retrospective study. Objective: To examine the functional results and e. Ffect on quality of life of continent cutaneous urinary diversion in spinal cord injured patients. Setting: Department of Urology, Sahlgrenska University Hospital, Go teborg, Sweden. Subjects: A total of 10 patients with spinal cord injury (SCI). Method: The patients were operated on with an ileal reservoir (Kock reservoir or T-pouch), Cr-EDTA clearance was determined preoperatively and at follow-up. The patients answered a questionnaire concerning reservoir function, various activities and quality of life. The patient charts were reviewed. Results: One patient died of pulmonary embolism 3 years after surgery. Two patients were reoperated on for reservoir perforation. All patients were satisfied/very satisfied with their reservoirs. Half of them reported improved ability to perform various activities. Eight out of nine patients reported improved quality of life. Conclusion: For a selected group of patients with SCI, continent cutaneous urinary diversion provides successful outcome with improved quality of life. Langue : ANGLAIS |
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