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• W2403325487 abstract "No AccessJournal of Urology1 Aug 1994Undiversion in Men Following Prior Cystoprostatectomy and Cutaneous Diversion. Is It Practical? Stuart D. Boyd, David Esrig, John P. Stein, John A. Freeman, and Donald G. Skinner Stuart D. BoydStuart D. Boyd More articles by this author , David EsrigDavid Esrig More articles by this author , John P. SteinJohn P. Stein More articles by this author , John A. FreemanJohn A. Freeman More articles by this author , and Donald G. SkinnerDonald G. Skinner More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)32733-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail This report discusses the feasibility and functional outcome of conversion to an orthotopic Kock neobladder in 11 men (average age 58 years) who underwent cystoprostatectomy and cutaneous urinary diversion an average of 7.3 years previously are discussed. Cystectomy had been performed for bladder cancer in 9 men and for multiple failed bladder reconstructions in 2. No patient had any evidence of recurrent cancer. The reasons for conversion to a Kock neobladder included complications with the current form of diversion (stomal stenosis, leakage and so forth) and dislike of a cutaneous stoma. Average followup since neobladder conversion was 36 months. The exactness of the anastomosis to the urethra and the presence of a retained apex of the prostate were major factors in the technical success of the operation, degree of continence and satisfaction of the patients. All 4 patients who had some portion of retained prostate enjoy excellent continence without anastomotic stricture. In 2 of the early undiversion patients with direct membranous urethral anastomoses anastomotic strictures occurred and they subsequently chose to resume continent cutaneous diversion. The other 5 patients with anastomoses to the membranous urethral stump did well but 2 required an artificial urinary sphincter for continence. These latter 5 patients had more extensive pelvic mobilization of the urethra for more exact anastomoses. The satisfaction level of all 9 continuing neobladder patients, even if an artificial urinary sphincter was necessary, has been exceptional. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByHautmann R, de Petriconi R, Schwarz J and Volkmer B (2018) Single Center Experience with Secondary Urinary Diversion after Initial Radical Cystectomy and Primary Urinary DiversionJournal of Urology, VOL. 195, NO. 2, (406-412), Online publication date: 1-Feb-2016.AHLERING T, GHOLDOIAN G, SKARECKY D, WEINBERG A and WILSON T (2018) SIMPLIFIED TECHNIQUE WITH SHORT AND LONG-TERM FOLLOWUP OF CONVERSION OF AN ILEAL CONDUIT TO AN INDIANA POUCHJournal of Urology, VOL. 163, NO. 5, (1428-1431), Online publication date: 1-May-2000. Volume 152Issue 2 Part 1August 1994Page: 334-337 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordsprostatectomybladderprostateurinary diversioncystectomyMetricsAuthor Information Stuart D. Boyd More articles by this author David Esrig More articles by this author John P. Stein More articles by this author John A. Freeman More articles by this author Donald G. Skinner More articles by this author Expand All Advertisement Loading ..." @default.
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• W2403325487 title "Undiversion in Men Following Prior Cystoprostatectomy and Cutaneous Diversion. Is It Practical?" @default.
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