scholarly journals Forgotten DJ Stent with a Large Calculus at Its Distal End in an Ileal Conduit Diversion

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Anurag Puri ◽  
Vinod Priyadarshi ◽  
Nivedita Raizada ◽  
Dilip Kumar Pal

Calculus formation in an ileal conduit following cystectomy is a known complication. Encrustation and formation of calculus may also occur over a DJ stent retained for a long period; but this is never reported in patients with conduit diversion because of close surveillance of these patients. Here we report first case of a large calculus encrusted over a forgotten DJ stent within an ileal conduit in a man who had undergone urinary diversion following radical cystectomy for carcinoma urinary bladder 8 years earlier.

2020 ◽  
Author(s):  
Dattatreya Mukherjee

In Radical Cystectomy the urinary bladder is fully resected and in ileal conduit the ureter is joined with a ileal part and drained outside the abdominal wall. It’s a technique of urinary diversion. This procedure has many adverse effects and its also tough for the patients to drain the urine through abdominal wall. So my hypothesis is to use a cadaveric bladder as a transplantation. Now the challenge will arise how to control urge of urination. For that artificial urinary bladder sphincter can be used with the neural regenerations procedure which is under research work. WNT/Beta pathway and Tissue genetic techniques have shown the peripheral neural regeneration.


2019 ◽  
Vol 75 (2) ◽  
pp. 294-299 ◽  
Author(s):  
Vincenzo Ficarra ◽  
Gianluca Giannarini ◽  
Alessandro Crestani ◽  
Vito Palumbo ◽  
Marta Rossanese ◽  
...  

2020 ◽  
Vol 9 (7) ◽  
pp. 2236 ◽  
Author(s):  
Jihion Yu ◽  
Bumsik Hong ◽  
Jun-Young Park ◽  
Yongsoo Lee ◽  
Jai-Hyun Hwang ◽  
...  

Urinary diversion after radical cystectomy is associated with a risk of renal function impairment. A significant decline in the glomerular filtration rate (GFR) (i.e., a ≥30% decline in baseline GFR after 12 months) is associated with long-term renal function impairment. We compared the significant GFR decline between ileal conduit and ileal neobladder urinary diversions 12 months after radical cystectomy. We retrospectively included radical cystectomy patients. Propensity score-matched analysis was performed. The primary outcome was the incidence of a significant GFR decline in ileal conduit urinary diversion (ileal conduit group) and ileal neobladder urinary diversion (ileal neobladder group) 12 months after radical cystectomy. The secondary outcomes were the change of GFR and the incidence of end-stage renal disease (ESRD) in the two groups. After propensity score matching, the ileal conduit and neobladder groups had 117 patients each. The incidence of a significant GFR decline was not significantly different between ileal conduit and ileal neobladder groups (12.0% vs. 13.7%, p = 0.845). The change of GFR and ESRD incidence were not significantly different between the two groups (−8.4% vs. −9.7%, p = 0.480; 4.3% vs. 5.1%, p > 0.999, respectively). These results can provide important information on appropriate selection of the urinary diversion type in radical cystectomy.


2012 ◽  
Vol 59 (3) ◽  
pp. 97-99
Author(s):  
Cedomir Topuzovic ◽  
Tomislav Pejcic ◽  
Ljubomir Djurasic ◽  
Jovan Hadzi-Djokic

INTRODUCTION: Ileal conduit (IC) is the standard urinary diversion following radical cystectomy. The formation of stone in the IC is one of the relatively common late complications of the procedure. CASE REPORT: The case of 69-year-old man who developed 10-cm large stone in the IC, six years after cystectomy is presented. CONCLUSION: The majority of patients with the stone in IC can be treated with minimally invasive techniques, like manual extraction, or endoscopic procedures.


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