Preventing reservoir calculi after augmentation cystoplasty and continent urinary diversion: the influence of an irrigation protocol

• DOI: 10.1111/j.1464-410x.2003.04664.x
• Publication Date: 2004-02-20T17:11:39Z
• Authors: T.W. Hensle; J. Bingham; J. Lam; A. Shabsigh
• Keywords: Urinary diversion; Bladder stones; Bladder stones; Stoma (medicine)

To evaluate the influence of an irrigation protocol in preventing reservoir calculi forming after augmentation cystoplasty and continent urinary diversion.Between 1985 1995, 91 patients had and/or diversion (group 1; 54 females 37 males, mean age 11.1 years, range 1-31); these were not routinely instructed to use surgery. The segments used included ileum (44), colon (36), stomach (eight) ureter (three). Between 1995 2000, 42 2) underwent reconstruction (22 20 14.8 4-27), segment being (30), (five), (five) (two) but contrast group 1 they then placed on a standard prophylactic protocol. occurrence stones was assessed.Thirty-nine (42.8%) presented with 22 several episodes. time presentation 30 months. incidence stone formation by underlying diagnosis included: myelomeningocele, 32/48 (66%), exstrophy five/25 (25%), posterior urethral valves two/20 (10%) rhabdomyosarcoma, none three. Fifty abdominal stoma, 33 while 41 native urethra, six (15%). Three (7%) 2 developed reconstruction, two myelomeningocele one trauma patient who residual bone spicules bladder; 26.5 months.These data suggest that significantly reduced number tract when bowel as part (43% vs. 7%). most both groups immobile sensory impairment. Also, stoma greater risk (66%) than those using urethra