HIGH URINARY DIVERSION (TRANSVERSE COLON POUCHTRANSVERSE COLON CONDUIT)

Abstract

I. The results of high urinary diversion using transverse colon in patients with previous history of irradiation are excellent. II. This retrospective study showed that the indications of transverse colon diversion was not limited to patients with history of irradiation as 21.7% of patients included in this study had no history of irradiation. III. Transverse colon is bowl segment of choice for urinary diversion in previously irradiated patients to avoid the complications of using irradiated bowel. IV. Nonrefluxing uretero-intestinal implantation techniques are not needed in low pressure urinary reservoirs. V. The results of transverse colon pouch were very encouraging, with excellent continence rates. We suggest that this technique of continent urinary diversion should be considered as a suitable alternative to other methods. VI. Although most of patients included in this study have history of irradiation and previous operation the results was excellent, so it expected that the results will be better if the indications of this technique are generalized to all patients in need of urinary diversion. VII. We recommend prospective study in lager number of patients comparing the outcome of transverse colon diversion in patients with history of irradiation, with the outcome in patients in need of urinary diversion without history of irradiation, with consideration and more detailed evaluation of quality of life in both groups.