Urinary conduits in gynecologic oncology

Journal Article · Thu May 01 04:00:00 EDT 1986 · Obstet. Gynecol.; (United States)

DOI:https://doi.org/10.1097/00006250-198605000-00015· OSTI ID:5809117

Hancock, K C; Copeland, L J; Gershenson, D M; Saul, P B; Wharton, J T; Rutledge, F N

Over an 11-year period (1971 to 1981), 212 urinary conduit surgeries were performed by the Department of Gynecology at the University of Texas, M. D. Anderson Hospital and Tumor Institute at Houston. The urinary diversions were performed as part of the pelvic exenteration operation in 154 patients, for radiation injury in 48 patients, and for palliation of disease recurrence in ten patients. Ninety-three percent had prior pelvic radiotherapy. Various segments of the gastrointestinal tract were used, including the ileum (102), sigmoid colon (99), transverse colon (four), jejunum (four), and others (three). Fifty percent of abnormal preoperative intravenous pyelograms reverted to normal after urinary diversion. Revision of the stoma was required in 6%. Other complications included infection (18%), renal loss (17%), and urinary leaks and fistulae (3%). The overall perioperative mortality was 7%, decreasing from 11% in the first five years to 3% during the last six years. Ureteral stents were routinely used. When selecting a segment of bowel for a urinary conduit, both tissue quality and mobility are important. Mortality and morbidity of urinary conduit surgery continues to decrease with experience.

• Research Organization: Univ. of Texas, Houston
• OSTI ID: 5809117
• Journal Information: Obstet. Gynecol.; (United States), Journal Name: Obstet. Gynecol.; (United States) Vol. 5; ISSN OBGNA
• Country of Publication: United States
• Language: English

Related Subjects

550600* -- Medicine
560151 -- Radiation Effects on Animals-- Man
62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
BODY AREAS
DIGESTIVE SYSTEM
FEDERAL REGION VI
GASTROINTESTINAL TRACT
INJURIES
MEDICINE
MORTALITY
NORTH AMERICA
NUCLEAR MEDICINE
ORGANS
PATIENTS
PELVIS
RADIATION EFFECTS
RADIATION INJURIES
RADIOLOGY
RADIOTHERAPY
SIDE EFFECTS
SURGERY
TEXAS
THERAPY
URINARY TRACT
USA