Conversion of an incontinent urinary conduit to a continent urinary reservoir (Miami Pouch)

cited authors

  • Benezra, V; Lambrou, NC; Salom, EM; Penalver, MA

fiu authors

abstract

  • Objective. External urinary or gastrointestinal appliances can impair a patient's quality of life. We report on the feasibility of converting an incontinent colonic urinary diversion to a continent urinary reservoir (Miami Pouch). Case. We describe the case of a 66-year-old white female with a history of stage Ib 2 cervical cancer treated by radical abdominal hysterectomy and adjuvant radiation therapy. The patient developed severe radiation cystitis with a neurogenic bladder and bilateral ureteral obstruction. After failing conservative management, a urinary diversion with a transverse colon conduit was performed. The patient remained without evidence of disease for 2 years and led an active lifestyle with regular tennis games. After 7 months of an external appliance for the urinary conduit, the patient presented to the University of Miami for conversion to a continent urinary mechanism which would not require an appliance. We performed an exploratory laparotomy, conversion of a transverse colon conduit to a continent ileo-colonic urinary reservoir (Miami Pouch). There were no postoperative complications. The patient remains disease-free and performs self-catheterization with no need for an external appliance. The patient has been able to resume an active life including sports. Conclusions. Successful conversion of an incontinent urinary conduit to a continent urinary reservoir is possible in a select case resulting in a perceived improvement of quality of life. © 2004 Elsevier Inc. All rights reserved.

publication date

  • September 1, 2004

Digital Object Identifier (DOI)

start page

  • 814

end page

  • 817

volume

  • 94

issue

  • 3