Experience with a low-pressure colonic pouch (Mainz II) urinary diversion for irreparable vesicovaginal fistula and bladder extrophy in East Africa
| Autor: | Mark A. Morgan, Ambereen Sleemi, Amreen Husain, Mary Lake Polan, Habte H. Melecot, Berhane Debru |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Urology medicine.medical_treatment Fistula Urinary incontinence Eritrea Urinary Diversion Vesicovaginal fistula Young Adult Fatal Outcome medicine Humans Vesicovaginal Fistula business.industry Urinary diversion Bladder Exstrophy Urinary Reservoirs Continent Obstetrics and Gynecology Perioperative Middle Aged medicine.disease Surgery Urethra medicine.anatomical_structure Treatment Outcome Colonic Pouches Female medicine.symptom Pouch business |
| Zdroj: | International urogynecology journal and pelvic floor dysfunction. 20(10) |
| Popis: | We report our experience with a low-pressure colonic pouch for urinary diversion in women with irreparable vesicovaginal fistulas and bladder extrophy. This is a case series of 35 women with irreparable vesicovaginal fistula who underwent urinary diversion and two cases performed for bladder extrophy. Partial or complete loss of the urethra was present in over 90% of fistula cases. Fifty-five percent had prior vaginal repairs. The median length of stay was 21 days. Median follow-up for 29 (78%) patients was 18 months. Nighttime urinary incontinence occurred in 31%. Twenty-one (91%) of 23 patients had a serum creatinine |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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