Indiana pouch continent urinary reservoir in patients with previous pelvic irradiation

Journal Article · Tue May 01 04:00:00 EDT 1990 · Obstetrics and Gynecology; (USA)

DOI:https://doi.org/10.1016/0020-7292(90)90556-Z· OSTI ID:6833553

Mannel, R S; Braly, P S; Buller, R E ^[1]

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1. Univ. of Oklahoma, Oklahoma City (USA)

Little information exists on the use of continent urinary reservoirs in patients with previous pelvic irradiation. We report the use of the Indiana pouch urinary reservoir in ten women with a history of pelvic irradiation for cervical cancer, of whom eight underwent a total pelvic exenteration for recurrent pelvic tumor and two had diversion for radiation-induced vesicovaginal fistula. All ten women achieved daytime continence, with a median time between catheterizations of 4.5 hours and a median pouch capacity of 500 mL. There was no evidence of leakage from the reservoir or significant ureteral reflux or obstruction on postoperative radiographic evaluation. No patient has required reoperation or had significant postoperative complications with the technique described.

• OSTI ID: 6833553
• Journal Information: Obstetrics and Gynecology; (USA), Journal Name: Obstetrics and Gynecology; (USA) Vol. 75:5; ISSN 0029-7844; ISSN OBGNA
• Country of Publication: United States
• Language: English

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560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
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BIOLOGICAL RADIATION EFFECTS
BLADDER
BODY
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