Cover Page i Urinary Diversion Second Edition Page ii This page intentionally left blank. Page iii Urinary Diversion Second Edition Edited by Karl J Kreder MD FACS Professor and Clinical Vice Chair, Director of Urodynamics and Reconstructive Urology, Department of Urology University of lowa Hospitals and Clinics, lowa City, IA, USA Anthony R Stone MD Professor and Vice Chair, Director of Urology, Department of Urology University of California, Davis, Sacramento CA, USA LONDON AND NEW YORK A MARTIN DUNITZ BOOK Page iv © 2005 Taylor & Francis, an imprint of the Taylor & Francis Group First published in the United Kingdom in 2005 by Taylor & Francis, an imprint of the Taylor & Francis Group, 2 Park Square, Milton Park, Abingdon, Oxfordshire OX14 4RN Tel.: +44 (0) 20 7017 6000 Fax.: +44 (0) 20 7017 6699 Email: [email protected] Website: http://www.dunitz.co.uk This edition published in the Taylor & Francis eLibrary, 2005. 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Library of Congress CataloginginPublication Data Data available on application ISBN 0203341023 Master ebook ISBN ISBN 1 84184 353 9 (Print Edition) Distributed in North and South America by Taylor & Francis 2000 NW Corporate Blvd Boca Raton, FL 33431, USA Within Continental USA Tel.: 800 272 7737; Fax.: 800 374 3401 Outside Continental USA Tel.: 561 994 0555; Fax.: 561 361 6018 Email: [email protected] Distributed in the rest of the world by Thomson Publishing Services Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel.: +44 (0)1264 332424 Email: [email protected] Composition by J&L Composition, Filey, North Yorkshire Page v Contents List of Contributors viii Foreword xiii Acknowledgements xiv Preface to the Second Edition xv Preface to the First Edition xvi SECTION I: INTRODUCTION 1. History of urinary diversion techniques 1 George D Webster and Andrew C Peterson 2. Anatomy of the stomach, small and large bowel as it applies to urinary tract reconstruction 21 Jacob Ramon SECTION II: PHYSIOLOGICAL CONSIDERATIONS OF THE USE OF BOWEL SEGMENTS IN THE URINARY TRACT 3. Metabolic implications and electrolyte disturbances 29 Cigdem Tanrikut and W Scott McDougal 4. The mechanics of tubular and detubularized bowel for bladder substitution 35 Morten ColdingJørgensen and Kenneth Steven 5. Bacteriuria in patients with reconstructed lower urinary tracts 43 Björn Wullt and Wiking Månsson 6. Structural and functional changes of the gastrointestinal mucosa in contact with urine 53 Wiking Månsson, Thomas Davidsson and Roger Willén 7. Renal function considerations in bladder substitution 67 Jens Christian Djurhuus, Troels Munch Jørgensen and Jørgen Frøkiær 8. Bone mineralization after urinary diversion 81 Thomas Davidsson, Karl Obrant, Birger Lindergård 9. Problem of secondary malignancy after urinary diversion and cystoplasty 91 Jerilyn M Latini and Karl J Kreder 10. Effect of enterocystoplasty on skeletal development in children 109 Mike Minh Nguyen and Eric A Kurzrock 11. Bowel dysfunction following enterocystoplasty 115 Stephen D Mark and George D Webster SECTION III: ORTHOTOPIC BLADDER REPLACEMENT 12. Nomenclature classification of urinary diversion 121 Christopher Chapple and Richard TurnerWarwick 13. Patient selection criteria for orthotopic bladder replacement 129 Steven R Mindrup and Badrinath R Konety Page vi 14. Ileal neobladders: Camey II, Hautmann, Kock 135 E James Wright 15. Ileal reservoir 143 Fiona C Burkhard, Celi Varol and Urs E Studer 16. Ileocolonic reservoirs: Orthotopic Mainz Pouch I, Le Bag 151 Joachim W Thüroff 17. Bladder replacement with detubularized right colon 161 Tamsin Greenwell, Daniela Andrich and Anthony Mundy 18. Sigmoid neobladder 171 Jerilyn M Latini 19. The gastric continent urinary reservoir 179 Pasquale Casale, Mark Horowitz and Michael E Mitchell 20. Orthotopic bladder replacement in women 189 Cheryl T Lee and James E Montie 21. Bowel and bladder replacement after total pelvic exenteration 197 Anne K Schuckman, John Stein and Donald G Skinner 22. Voiding function and continence following orthotopic diversion 205 Kilian Walsh SECTION IV: CONTINENT URINARY DIVERSION TO AN ABDOMINAL STOMA 23. The continent Kock and Tpouch reservoirs: crossover techniques 213 John P Stein and Donald G Skinner 24. Continent urostomy with hydraulic valve 235 Abdellatif Benchekroun 25. Right colon reservoir using a tapered ileal outlet 243 Randall G Rowland and Andrew C McGregor 26. The Mitrofanoff principle in continent urinary diversion 253 Christopher S Cooper and Howard M Snyder, III 27. In situ modification of the Mitrofanoff principle in adult patients 261 Elmar W Gerharz and Hubertus Riedmiller 28. The Monti principle in continent urinary diversion 269 Padraig S J Malone, Ramesh Babu and Martin A Koyle SECTION V: TECHNIQUES THAT USE THE ANUS FOR CONTINENCE 29. Ureterosigmoidostomy and Mainz pouch II 275 Margit Fisch, Joachim W Thüroff and Rudolf Hohenfellner 30. Urinary diversion to the modified rectal bladder: an anal sphinctercontrolled bladder substitute 285 Hassan AbolEnein and Mohamed A Ghoneim Page vii SECTION VI: PREVENTION OF REFLUX 31. Is reflux prevention necessary in urinary diversion? 297 Michael L Guralnick 32. Reflux prevention with intussuscepted nipple valves and tunnels 307 Arthur C Grabowski and Lesley K Carr 33. The Le Duc—Camey method for reflux prevention 319 Alain Le Duc and Maurice Camey 34. Use of the splitcuff nipple technique for ureteral reimplantation 325 Regina Hovey and Anthony R Stone SECTION VI: CONDUIT URINARY DIVERSION 35. Ileal conduit urinary diversion 331 Christopher E Iselin 36. Colon conduit diversion and special considerations in radiated patients 343 Joseph A Costa 37. Special considerations in neurogenic bladder patients 349 Thiagarajan Nambirajan and Ian K Walsh 38. Troubleshooting the problematic patient after conduit urinary diversion 355 Vincent Tse 39. Laparoscopic bladder augmentation and urinary diversion 363 Raymond R Rackley, Joseph B Abdelmalak, Ahmed S ElAzab, Sandip P Vasavada and Inderbir S Gill Index 377 Page viii Contributors Joseph B Abdelmalak MD Glickman Urologic Institute Cleveland Clinic Foundation Cleveland, OH, USA Hassan AbolEnein MD PhD Professor of Urology LJrology and Nephrology Center Mansoura, Egypt Daniela Andrich MD MRCS Institute of Urology London, UK Ramesh Babu MS MCH FRCS (Paeds) Specialist Registrar in Paediatric Urology Department of Paediatric Urology Wessex. Regional Centre for Paediatric Surgery Southampton University Hospitals NHS Trust Southampton, UK Abdellatif Benchekroun MD Professor Department of Urology Hospital Avicenne Rabat R.P., Morocco Fiona C Burkhard MD Department of LJrology University of Berne InselspitalAnna SilerHaus Berne, Switzerland Maurice Camey Professor of Urology (retired) Paris, France Lesley K Carr MD FRCS(C) Medical Director, Women’s Pelvic Health Centre Division of Urology Sunnybrook and Women’s College Health Science Centre Toronto, Ontario, Canada Pasquale Casale MD Assistant Professor of Urology University of Pennsylvania Children’s Hospital of Philadelphia Division of Pediatric Urology Philadelphia, PA, USA Christopher Chapple BSc MD FRCS(Urol) Consultant Urological Surgeon Department of Urology Royal Hallamshire Hospital Sheffield, UK Lise L Christensen MD Institute of Experimental Clinical Research and Department of Urology Skejby Hospital University Hospital in Aarhus Aarhus, Denmark Morten ColdingJørgensen MD MSc Department of Medical Physiology The Panum Institute University of Copenhagen Copenhagen, Denmark Christopher S Cooper MD Associate Professor Director, Pediatric Urology The University of Iowa Iowa City, IA, USA Joseph A Costa MD Assistant Professor of Surgery University of Florida College of ‘Medicine Head, Section of reconstructive Surgery and Neuourology University of Florida shands Jacksonville Jacksonville, FL, USA Thomas Davidsson MD PhD Associate Professor Department of Urology University Hospital Lund Lund, Sweden Jens Christian Djurhuus MD Professor of Clinical Surgery Institute of Experimental Clinical Research University of Aarhus DK8200 Aarhus North Denmark Ahmed S ElAzab MD Clinical Research Fellow Section of Female Urology and Voiding Dysfunction Glickman Urologic Institute Cleveland Clinic Foundation Cleveland, OH, USA Page ix Margit Fisch MD Professor of urology Center of Urology and Pediatric Urology Hamburg Allgemeines Krankenhaus Harburg Hamburg, Germany John A Freeman MD Medical Director Nevada Urology Associates Reno, NV, USA Jorgen Frokiaer MD Consultant in Clinical Physiology Institute of Experimental Clinical Research Department of Clinical Physiology/Nuclear Medicine Skejby Hospital University Hospital in Aarhus Aarhus, Denmark Elmer W Gerharz MD Associate Professor of Urology Department of Urology Julius MaximiliansUniversity Medical School Würzburg, Germany Mohamed A Ghoneim MD PhD Urology and Nephrology Center Mansoura University El Mansoura, Egypt Inderbir S Gill MD MCh Glickman Urologic Institute Cleveland Clinic Foundation Cleveland, OH, USA Arthur C Grabowski MD Sunnybrook & Women’s College Health Science Center Toronto, Ontario, Canada Tamsin Greenwell MD FRCS (Urol) Consultant Urological Surgeon Institute of Urology London, UK Michael Guralnick MD FRCSC Assistant Professor Department of Urology Medical College of Wisconsin Milwaukee, WI, USA Rudolf Hohenfeller MD Head Professor of Urology University of Mainz Department of LJrology Mainz, Germany Mark Horowitz MD Assistant Professor, Pediatric Urology Director, Pediatric Voiding Dysfunction Center & Urodynamics Laboratory Weill Medical College of Cornell University New York Presbyterian Hospital New York, NY, USA Regina Hovey MD UCI Medical Center University of California Irvine, CA, USA Christopher Iselin MD Clinique D’Urologie Geneva, Switzerland Troels Munch Jørgensen MD Department of Urology Section of Pediatric Urology Aarhus University Hospital Aarhus, Denmark Badrinath Konety MD MBA Assistant Professor of Urology and Epidemiology Department of Urology University of Iowa Iowa City, IA, USA Martin A Koyle MD Professor or Surgery and Paediatrics Chairman, Department of Paediatric LJrology University of Colorado Health Sciences Center and The Children’s Hospital Denver, CO, USA Karl J Kreder MD FACS Professor and Clinical Vice Chair Director of Urodynamics and Reconstructive Urology Department of Urology University of Iowa Hospitals and Clinics Iowa City, IA, USA Eric A Kurzrock MD Assistant Professor of Pediatrics and Urology Chief of Pediatric LJrology University of California Davis Children’s Hospital Department of Urology Sacramento, CA, USA Jerilyn M Latini MD Fellow, Female and Reconstructive Urology Department of Urology University of Iowa Iowa City, IA, USA