UTI and Urinary Tract Reconstruction

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Presentation transcript:

UTI and Urinary Tract Reconstruction Werner W. Hochreiter, Sebastian Z’Brun  EAU Update Series  Volume 2, Issue 3, Pages 101-105 (September 2004) DOI: 10.1016/j.euus.2004.06.001

Fig. 1 Overall complications of ileal conduit. EAU Update Series 2004 2, 101-105DOI: (10.1016/j.euus.2004.06.001)

Fig. 2 Overall complications of Kock pouch. EAU Update Series 2004 2, 101-105DOI: (10.1016/j.euus.2004.06.001)

Fig. 3 Overall complications of ileal bladder substitutes. EAU Update Series 2004 2, 101-105DOI: (10.1016/j.euus.2004.06.001)

Fig. 4 (A) Ileal bladder substitute filled to functional capacity. Simultaneous pressure recordings obtained in an ileal bladder substitute, the renal pelvis (through a nephrostomy tube), and the rectum of a patient with an afferent tubular segment. When the reservoir was filled to the patient’s maximal functional capacity (maximal voiding volume), the basal pressure varied between 10 and 20cmH2O (lower curve). The intermittent pressure peaks (tipically seen in low-capacity bladder substitutes during the early postoperative period) were not transmitted and not recorded in the renal pelvis (middle curve). (B) Ileal bladder substitute filled beyond functional capacity. When the reservoir was overfilled through the indwelling catheter, the basal pressure in the reservoir was raised to 40cmH2O (lower curve). The basal pressure recorded in the renal pelvis was slightly elevated but significantly lower than that measured in the overfilled bladder substitute (10 versus 40cmH2O). The unnaturally high pressure peaks that were provoked in the reservoir (80cmH2O) were immediately transmitted and recorded in the renal pelvis. However, such situations do not occur under normal conditions. EAU Update Series 2004 2, 101-105DOI: (10.1016/j.euus.2004.06.001)