45 Cases of sigma rectum ouch for urinary division
SUN Bin
LI Xian-chu
YAN Jing-min
LI Jian-ye
GUO He-qing
HONG Quan
WANG Ze-hou
ZHOU Gao-biao
PAN Guang-xin
Abstract： Objective Our goal was to summarize clinical effects of sigmoidorectal pouch for urinary diversion. Methods Forty-five patients underwent sigmoidorectal pouch procedure in our hospital from June 1993 to June 2012. Operation was performed as follows. We took the boundary spot between sigmoidal colon and rectum as midpoint, split intestinal canal lengthwise over 20 ~ 24 cm, and sutured it to form a low-pressure reservoir. The ureters were shunt with intestinal tract by means of submucosal tunnel technique, and the anal sphincter was used to control urination. The patients were followed up for 6 months to 15 years after operation. The index of quality of life in the International Prostate Symptom Score (IPSS) was used to evaluate the degree of satisfaction to urinate. Result Forty patients had slight incontinence in the early postoperative stage , and could control urination well 30 days postoperatively. The volume of pouch was 270~600 ml, with an average of 375 ml. The basic pressure during filling period was 6~20 cmH2O with an average 15 cmH2O, and the maximum filling pressure was 15~30 cmH2O with an average 26 cmH2O. The compliance of sigmoidorectal pouch was fine. There were no severe complications such as hyperchlorine acidosis or retrograde pyelonephritis. Six patients had slight hydronephrosis. The index of QOL were 0~2 in twenty patients, 3 in five patients and 4 in two patients respectively. Conclusion The sigmoidorectal pouch operation is simple and acceptable by surgeons and patients. It was an ideal urinary diversion for patients with muscle-invasive bladder cancer, especially for patients who received urethrectomy.
Keywords：Bladder tumorUrinary diversionSigmoidorectal pouch
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 50-53 )