PMID: 9179661Jan 1, 1997Paper

Urinary reconstruction using appendix as a urinary and catheterizable conduit in 12 patients

International Journal of Urology : Official Journal of the Japanese Urological Association
Y OkadaO Yoshida

Abstract

The appendix vermiformis can provide an excellent urinary conduit or a catheterizable outlet in continent urinary reservoirs in selected cases. We report our clinical experience using the appendix in urinary reconstruction in adult patients. A total of 12 patients underwent urinary reconstruction using the appendix. The indications were pelvic malignancies except for 1 patient with neurogenic bladder and difficulty in self-catheterization via urethra. The appendix was used as a catheterizable conduit in 8 patients, and as a urinary conduit in 4 patients. The in situ submucosally embedded method was used in 6 patients and the Mitrofanoff method was used in 2 patients. Follow-up ranged from 3 to 41 months (mean, 22). Early complications occurred in 3 patients (wound infection, false passage and intestinal anasotomotic leak). Late complications occurred in 3 (slight hydronephrosis, ileus, stomal stenosis). Emergent colostomy and pouchstomy with resection of the appendix was performed in the patient with anastomotic leak. The isoperistaltic Kock nipple valve was reconstructed for continence in this case. Prolonged ileus in 1 patient was treated by open surgery. Other complications were managed conservatively. End results were excel...Continue Reading

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Sep 1, 1991·The Journal of Urology·S B Barker
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Jul 1, 1990·The Journal of Urology·S Juma, J C Nickel
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Citations

Apr 29, 1998·International Journal of Urology : Official Journal of the Japanese Urological Association·S ArakawaS Kamidono
Jun 30, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Mizuki KobayashiTetsuro Matsumoto
Nov 6, 2013·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·Ryosuke MuraiYusaku Okada
Jun 4, 2002·DNA and Cell Biology·Nathalie Hill-KapturczakAnupam Agarwal

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