Abstract
Purpose: To assess how radiologic intervention altered the hospital course of patients undergoing continent urinary diversion. Methods: Thirty- seven consecutive patients with bladder cancer invading the muscular layer were treated with total cystectomy and construction of a continent urinary reservoir. Eleven of 37 patients suffered early and late anastomotic leakage; six had prolonged extraperitoneal leakage at the urethroenteric anastomosis, three had prolonged intraperitoneal pouch leaks, and two had delayed ureteroenteric leaks. Seven of these patients required radiologic intervention. Results: Intervention in the form of drainage catheter manipulation (n = 4), percutaneous nephrostomy (n = 4), or ureteral stent placement (n = 2) resulted in cessation of leakage without surgical intervention in all seven patients. Intraperitoneal pouch leaks were more difficult to control than extraperitoneal leakage and required longer drainage intervals. Conclusion: Interventional radiologic procedures played a key role in the management of continent urinary diversion complications, obviating the need for repeat surgical intervention in all instances.
Original language | English (US) |
---|---|
Pages (from-to) | 274-279 |
Number of pages | 6 |
Journal | Cardiovascular and Interventional Radiology |
Volume | 20 |
Issue number | 4 |
DOIs | |
State | Published - Jul 1997 |
Externally published | Yes |
Keywords
- Continent urinary diversion
- Leakage, intraperitoneal, extraperitoneal
- Nephrostomy
- Ureter stent
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine