Download PDF
Clin Colon Rectal Surg 2017; 30(03): 207-214
DOI: 10.1055/s-0037-1598162
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Use of Bowel in Reconstructive Urology: What a Colorectal Surgeon Should Know

Christopher D. Morrison
1   Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
,
Stephanie J. Kielb
1   Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
22 May 2017 (online)

    Permissions and Reprints

Abstract

Urologists routinely use bowel in the reconstruction of the urinary tract. With an increasing prevalence of urinary diversions, it is important for surgeons to have a basic understanding of varied use and configuration of bowel segments in urinary tract reconstruction that may be encountered during abdominal surgery. The aim of this review article is to provide an overview of the various reconstructive urological surgeries requiring bowel and to guide physicians on how to manage these patients with urinary diversions.

Keywords

incontinent urostomy - continent urostomy - neobladder - electrolyte disturbances - chronic bacteriuria
 

  • References

  • 1 Bricker EM. Bladder substitution after pelvic evisceration. Surg Clin North Am 1950; 30 (05) 1511-1521
    CrossrefPubMedGoogle Scholar
  • 2 Gore JL, Litwin MS. ; Urologic Diseases in America Project. Quality of care in bladder cancer: trends in urinary diversion following radical cystectomy. World J Urol 2009; 27 (01) 45-50
    CrossrefPubMedGoogle Scholar
  • 3 Lee MC, Klein EA. Ileal conduit urinary diversion. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 4 Nieuwenhuijzen JA, de Vries RR, Bex A. , et al. Urinary diversions after cystectomy: the association of clinical factors, complications and functional results of four different diversions. Eur Urol 2008; 53 (04) 834-842 , discussion 842–844
    CrossrefPubMedGoogle Scholar
  • 5 Fisch M, Hohenfellner R, Stein R, Thuroff JW. Transverse colonic conduit. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 6 Chang SS, Alberts GL, Smith Jr JA, Cookson MS. Ileal conduit urinary diversion in patients with previous history of abdominal/pelvic irradiation. World J Urol 2004; 22 (04) 272-276
    CrossrefPubMedGoogle Scholar
  • 7 Pycha A, Comploj E, Martini T. , et al. Comparison of complications in three incontinent urinary diversions. Eur Urol 2008; 54 (04) 825-832
    CrossrefPubMedGoogle Scholar
  • 8 McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 1981; 126 (02) 205-209
    CrossrefPubMedGoogle Scholar
  • 9 Zimmerman WB, Santucci RA. Ileovesicostomy update: changes for the 21st century. Adv Urol 2009; 2009: 801038
    PubMedGoogle Scholar
  • 10 Leng WW, Faerber G, Del Terzo M, McGuire EJ. Long-term outcome of incontinent ileovesicostomy management of severe lower urinary tract dysfunction. J Urol 1999; 161 (06) 1803-1806
    CrossrefPubMedGoogle Scholar
  • 11 Mitrofanoff P. Trans-appendicular continent cystostomy in the management of the neurogenic bladder [in French]. Chir Pediatr 1980; 21 (04) 297-305
    PubMedGoogle Scholar
  • 12 Cendron M, Gearhart JP. The Mitrofanoff principle. Technique and application in continent urinary diversion. Urol Clin North Am 1991; 18 (04) 615-621
    PubMedGoogle Scholar
  • 13 Cain MP. The Mitrofanoff procedure in pediatric urinary tract reconstruction. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 14 Monti PR, Lara RC, Dutra MA, de Carvalho JR. New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 1997; 49 (01) 112-115
    CrossrefPubMedGoogle Scholar
  • 15 Thomas JC, Dietrich MS, Trusler L. , et al. Continent catheterizable channels and the timing of their complications. J Urol 2006; 176 (4 Pt 2): 1816-1820 , discussion 1820
    CrossrefPubMedGoogle Scholar
  • 16 Cain MP, Casale AJ, King SJ, Rink RC. Appendicovesicostomy and newer alternatives for the Mitrofanoff procedure: results in the last 100 patients at Riley Children's Hospital. J Urol 1999; 162 (05) 1749-1752
    CrossrefPubMedGoogle Scholar
  • 17 Szymanski KM, Whittam B, Misseri R. , et al. Long-term outcomes of catheterizable continent urinary channels: what do you use, where you put it, and does it matter?. J Pediatr Urol 2015; 11 (04) 210.e1-210.e7
    CrossrefPubMedGoogle Scholar
  • 18 Hautmann RE, Abol-Enein H, Davidsson T. , et al; International Consultation on Urologic Disease-European Association of Urology Consultation on Bladder Cancer 2012. ICUD-EAU International Consultation on Bladder Cancer 2012: urinary diversion. Eur Urol 2013; 63 (01) 67-80
    CrossrefPubMedGoogle Scholar
  • 19 Abol-Enein H, Ghoneim MA. Continent catheterizable reservoir made from ileum. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 20 Rowland RG, Mitchell ME, Bihrle R, Kahnoski RJ, Piser JE. Indiana continent urinary reservoir. J Urol 1987; 137 (06) 1136-1139
    CrossrefPubMedGoogle Scholar
  • 21 Riedmiller H, Gerharz EW. Continent catheterizable reservoir made from colon. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 22 Crivellaro S, Michaels MJ, Kocjancic E, Libertino JA. The Lahey clinic experience with continent urinary diversion. BJU Int 2004; 94 (07) 1087-1091
    CrossrefPubMedGoogle Scholar
  • 23 Studer UE, Casanova GA, Zingg EJ. Bladder substitution with an ileal low-pressure reservoir. Eur Urol 1988; 14 (Suppl. 01) 36-40
    CrossrefPubMedGoogle Scholar
  • 24 Jeschke S, Studer UE. Orthotopic urinary diversion using an ileal low-pressure reservoir with an afferent tubular segment. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 25 Hautmann RE, Egghart G, Frohneberg D, Miller K. The ileal neobladder. J Urol 1988; 139 (01) 39-42
    CrossrefPubMedGoogle Scholar
  • 26 Hautmann RE. Ileal neobladder. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 27 Studer UE, Burkhard FC, Schumacher M. , et al. Twenty years experience with an ileal orthotopic low pressure bladder substitute--lessons to be learned. J Urol 2006; 176 (01) 161-166
    CrossrefPubMedGoogle Scholar
  • 28 Erber B, Schrader M, Miller K. , et al. Morbidity and quality of life in bladder cancer patients following cystectomy and urinary diversion: a single-institution comparison of ileal conduit versus orthotopic neobladder. ISRN Urol 2012; 2012: 342796
    PubMedGoogle Scholar
  • 29 Large MC, Malik R, Cohn JA. , et al. Prospective health-related quality of life analysis for patients undergoing radical cystectomy and urinary diversion. Urology 2014; 84 (04) 808-813
    CrossrefPubMedGoogle Scholar
  • 30 Tollefson MK, Elliott DS, Zincke H, Frank I. Long-term outcome of ureterosigmoidostomy: an analysis of patients with >10 years of follow-up. BJU Int 2010; 105 (06) 860-863
    CrossrefPubMedGoogle Scholar
  • 31 Fisch M, Hohenfellner R, Schede J, Thuroff JW. Ureterosigmoidostomy: Mainz pouch II. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 32 Kälble T, Hofmann I, Riedmiller H, Vergho D. Tumor growth in urinary diversion: a multicenter analysis. Eur Urol 2011; 60 (05) 1081-1086
    CrossrefPubMedGoogle Scholar
  • 33 Cameron AP, Cespedes RD, McGuire EJ. Bladder augmentation. Graham SD, Keane TE. , eds. Glenn's Urologic Surgery. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. . Ovid. October 31, 2015
    Google Scholar
  • 34 Abdel-Azim MS, Abdel-Hakim AM. Gastrocystoplasty in patients with an areflexic low compliant bladder. Eur Urol 2003; 44 (02) 260-265
    CrossrefPubMedGoogle Scholar
  • 35 Armatys SA, Mellon MJ, Beck SD, Koch MO, Foster RS, Bihrle R. Use of ileum as ureteral replacement in urological reconstruction. J Urol 2009; 181 (01) 177-181
    PubMedGoogle Scholar
  • 36 Ali-el-Dein B, Ghoneim MA. Bridging long ureteral defects using the Yang-Monti principle. J Urol 2003; 169 (03) 1074-1077
    CrossrefPubMedGoogle Scholar
  • 37 Matlaga BR, Shah OD, Hart LJ, Assimos DG. Ileal ureter substitution: a contemporary series. Urology 2003; 62 (06) 998-1001
    CrossrefPubMedGoogle Scholar
  • 38 Tanrikut C, McDougal WS. Acid-base and electrolyte disorders after urinary diversion. World J Urol 2004; 22 (03) 168-171
    CrossrefPubMedGoogle Scholar
  • 39 Kurzrock EA, Baskin LS, Kogan BA. Gastrocystoplasty: long-term followup. J Urol 1998; 160 (6 Pt 1): 2182-2186
    CrossrefPubMedGoogle Scholar
  • 40 Mills RD, Studer UE. Metabolic consequences of continent urinary diversion. J Urol 1999; 161 (04) 1057-1066
    CrossrefPubMedGoogle Scholar
  • 41 Gerharz EW, Turner WH, Kälble T, Woodhouse CR. Metabolic and functional consequences of urinary reconstruction with bowel. BJU Int 2003; 91 (02) 143-149
    CrossrefPubMedGoogle Scholar
  • 42 Stein R, Lotz J, Andreas J. , et al. Long-term metabolic effects in patients with urinary diversion. World J Urol 1998; 16 (04) 292-297
    CrossrefPubMedGoogle Scholar
  • 43 Hill MJ, Hudson MJ, Stewart M. The urinary bacterial flora in patients with three types of urinary tract diversion. J Med Microbiol 1983; 16 (02) 221-226
    CrossrefPubMedGoogle Scholar
  • 44 Wullt B, Holst E, Steven K. , et al. Microbial flora in ileal and colonic neobladders. Eur Urol 2004; 45 (02) 233-239
    CrossrefPubMedGoogle Scholar