Selecting the Appropriate Urinary Diversion Procedure in the Spinal Cord Injured: A Poignant Reminder
作者:
RaziSalman S.,
BennettCarol J.,
期刊:
The Journal of Spinal Cord Medicine
(Taylor Available online 1996)
卷期:
Volume 19,
issue 3
页码: 197-200
ISSN:1079-0268
年代: 1996
DOI:10.1080/10790268.1996.11719433
出版商: Taylor&Francis
关键词: urinary diversion;hemi-Kock;ileocystoplasty;spinal cord injury;fistula
数据来源: Taylor
摘要:
abstractLower urinary tract reconstruction has been performed on the spinal injured population at our institution since 1988. Careful pre-operative evaluation including a detailed history, physical examination and radiographic and/or urodynamic studies are usually obtained to determine which type of procedure would be most beneficial for each individual patient. Typically, patients receive either a cutaneous (i.e., Kock or Indiana) diversion or undergo a form of bladder augmentation (usually ileocystoplasty). Pre-operative findings and the patient’s history are carefully considered prior to choosing the appropriate procedure. Occasionally, a particular finding influences the decision. We describe a patient who received a hemi-Kock ileocystoplasty with a continent abdominal stoma who, in retrospect, would have benefitted from a supravesical diversion.(J Spinal Cord Med\19:197–200)
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