Long-term results of ureterosigmoidostomy in children with bladder exstrophy

Harry P. Koo, Luigi Avolio, John W. Duckett

Research output: Contribution to journalArticle

Abstract

Purpose: We evaluated long-term results of patients with bladder exstrophy who underwent ureterosigmoidostomy. Materials and Methods: Of 4 women and 23 men monitored at our institution 16 (59%) underwent primary diversion by ureterosigmoidostomy, while 11 (41%) underwent primary bladder closure or an ileal conduit procedure before conversion to ureterosigmoidostomy. Average followup after ureterosigmoidostomy was 17 years. Results: Significant upper urinary tract changes developed in 18% of the patients. Metabolic acidosis was well compensated in most patients but 2 had problems with urinary retention leading to hyperammonemia and acidosis. Of the 19 patients monitored with biennial colonoscopy benign polyps were removed in 4. Daytime continence was achieved in 92% of cases and nighttime continence in 58%. Conclusions: Our experience with ureterosigmoidostomy in children with bladder exstrophy has been favorable through long-term followup. With proper imaging, metabolic surveillance, biennial colonoscopy and nonsteroidal anti-inflammatory drugs we offer ureterosigmoidostomy as a viable alternative for patients with small bladders.

Original languageEnglish
Pages (from-to)2037-2040
Number of pages4
JournalJournal of Urology
Volume156
Issue number6
DOIs
Publication statusPublished - Dec 1996

Fingerprint

Bladder Exstrophy
Colonoscopy
Acidosis
Urinary Bladder
Hyperammonemia
Urinary Diversion
Urinary Retention
Polyps
Urinary Tract
Anti-Inflammatory Agents
Pharmaceutical Preparations

Keywords

  • bladder
  • bladder exstrophy
  • sigmoid
  • ureterostomy

ASJC Scopus subject areas

  • Urology

Cite this

Long-term results of ureterosigmoidostomy in children with bladder exstrophy. / Koo, Harry P.; Avolio, Luigi; Duckett, John W.

In: Journal of Urology, Vol. 156, No. 6, 12.1996, p. 2037-2040.

Research output: Contribution to journalArticle

Koo, Harry P. ; Avolio, Luigi ; Duckett, John W. / Long-term results of ureterosigmoidostomy in children with bladder exstrophy. In: Journal of Urology. 1996 ; Vol. 156, No. 6. pp. 2037-2040.
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