Urinary diversion in patients undergoing pelvic exenteration

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

Research output: Contribution to journalArticle

43 Scopus citations

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
JournalUnknown Journal
Volume142
Issue number7
DOIs
StatePublished - Jan 1 1982
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    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. Unknown Journal, 142(7), 883-889. https://doi.org/10.1016/S0002-9378(16)32536-4