The Choice of Method of Urinary Diversion after Cystectomy


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Abstract

Relevance Decision on the choice of urinary diversion after cystectomy due to the increased incidence of bladder cancer is an important issue at present in urology. The purpose of the study Evaluation of the surgical treatment of patients with functional and organic disorders of the bladder operated on using the methods of intestinal derivation of urine. Materials and methods Analyzes the results of treatment of 110 patients who underwent cystectomy with different types of urinary diversion by original techniques. Transactions are recorded at length bowel resection, the technique of formation and shape of the bladder, pre-calculated amount of orthotopic bladder antireflux technique was used to create ureteral-intestinal anastomoses. Results and their discussion The use of original methods of formation of orthotopic bladder or intestinal reservoir has reduced the number of postoperative complications. In the early postoperative period, the volume of the bladder reaches its scheduled during surgery. During the first 6 months after surgery in 93% of patients with orthotopic bladder incontinence stopped. The results of urodynamic studies show an adequate urination in this group of patients. Quality of life was higher in patients in the group with orthotopic bladder, compared with a group of patients with heterotopic urinary reservoir, but at a later date statistically significant difference between the groups of indicators not. Conclusion Results of the study show the effectiveness of the procedures used to ensure in the future quality of life of patients.

About the authors

Orenburg State Medical Academy, Orenburg, Russian Federation;
2nd Central Military Hospital P.V.Mandryka, Moscow, Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
PhD, Assistant Department of Hospital Surgery, Urology State budget institution of higher education "Orenburg State Medical Academy" of the Ministry of Health of the Russian Federation

Orenburg State Medical Academy, Orenburg, Russian Federation;
2nd Central Military Hospital P.V.Mandryka, Moscow, Russian Federation

Email: author@vestnik-surgery.com
MD, chief surgeon of the Federal State Institution "2 Central Military Hospital. PV Mandryka" of the Ministry of Defense of the Russian Federation;

Orenburg State Medical Academy, Orenburg, Russian Federation;
2nd Central Military Hospital P.V.Mandryka, Moscow, Russian Federation

Email: author@vestnik-surgery.com
MD, Professor, Head of the Department of Hospital Surgery, Urology State budget institution of higher education "Orenburg State Medical Academy" of the Ministry of Health of the Russian Federation

Orenburg State Medical Academy, Orenburg, Russian Federation;
2nd Central Military Hospital P.V.Mandryka, Moscow, Russian Federation

Email: author@vestnik-surgery.com
PhD, Department of Urology Resident Federal State Institution "2 Central Military Hospital. PV Mandryka "of the Ministry of Defense of the Russian Federation

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