Urinary diversion in patients undergoing pelvic exenteration

J. W. Orr, H. M. Shingleton, Kenneth D Hatch, P. T. Taylor, J. M. Austin, E. E. Partridge, S. J. Soong

Research output: Contribution to journalArticle

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Abstract

Between October, 1969, and April, 1981, gynecologic oncologists at the University of Alabama Medical Center in Birmingham have performed 119 pelvic exenterations. One hundred fifteen of these patients had a concurrent supravesical urinary diversion. Fifty-six patients (48.7%) had an anterior exenteration and 59 patients (51.3%) had a total exenteration. An ileal segment was used as a conduit in 97 patients while a segment of transverse colon was used in 16 patients. Two patients had sigmoid conduits. Eighty-five patients (73.9%) had the intestinal anastomosis and conduit constructed with gastrointestinal staplers. Stapler use shortened the mean operating time for the exenterative procedure by approximately 30%. No increase in postoperative gastrointestinal complications was noted. Urinary diversion performed as part of a pelvic exenteration has been associated with short- and long-term complications. The use of ureteral stents and the gastrointestinal staplers shortens the procedure without predisposing the patient to major urologic complications. The use of a segment of unirradiated bowel (transverse colon) in conjunction with these techniques constitutes the preferred method of supravesical urinary diversion in patients undergoing a pelvic exenteration.

Original languageEnglish (US)
Pages (from-to)883-889
Number of pages7
JournalAmerican Journal of Obstetrics and Gynecology
Volume142
Issue number7
StatePublished - 1982
Externally publishedYes

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Pelvic Exenteration
Urinary Diversion
Transverse Colon
Sigmoid Colon
Stents

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Orr, J. W., Shingleton, H. M., Hatch, K. D., Taylor, P. T., Austin, J. M., Partridge, E. E., & Soong, S. J. (1982). Urinary diversion in patients undergoing pelvic exenteration. American Journal of Obstetrics and Gynecology, 142(7), 883-889.

Urinary diversion in patients undergoing pelvic exenteration. / Orr, J. W.; Shingleton, H. M.; Hatch, Kenneth D; Taylor, P. T.; Austin, J. M.; Partridge, E. E.; Soong, S. J.

In: American Journal of Obstetrics and Gynecology, Vol. 142, No. 7, 1982, p. 883-889.

Research output: Contribution to journalArticle

Orr, JW, Shingleton, HM, Hatch, KD, Taylor, PT, Austin, JM, Partridge, EE & Soong, SJ 1982, 'Urinary diversion in patients undergoing pelvic exenteration', American Journal of Obstetrics and Gynecology, vol. 142, no. 7, pp. 883-889.
Orr JW, Shingleton HM, Hatch KD, Taylor PT, Austin JM, Partridge EE et al. Urinary diversion in patients undergoing pelvic exenteration. American Journal of Obstetrics and Gynecology. 1982;142(7):883-889.
Orr, J. W. ; Shingleton, H. M. ; Hatch, Kenneth D ; Taylor, P. T. ; Austin, J. M. ; Partridge, E. E. ; Soong, S. J. / Urinary diversion in patients undergoing pelvic exenteration. In: American Journal of Obstetrics and Gynecology. 1982 ; Vol. 142, No. 7. pp. 883-889.
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