Nonrefluxing colonic conduits: a long-term life-table analysis.

D A Husmann; G A McLorie; B M Churchill

doi:10.1016/s0022-5347(17)39028-6

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Nonrefluxing colonic conduits: a long-term life-table analysis.

D A Husmann·G A McLorie·B M Churchill

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Abstract

We evaluated 25 patients undergoing urinary diversion with a nonrefluxing colonic conduit. Renal scarring developed in 10% of the kidneys during a median followup of 12.7 years. In 11 renal units (22%) deterioration of the ureteroenteric anastomosis occurred due to the development of reflux or stricture. Of these kidneys 45% had scarring; no renal unit in which the anastomosis remained intact had renal scars (p less than 0.001). Of our patients 96% had bacterial colonization of the colonic conduit but this was not associated with renal scarring if the urinary diversion was anatomically intact.

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Bacteriuria Bladder Exstrophy Child Child, Preschool Cicatrix Colon Humans Infant Infant, Newborn Kidney Life Tables Postoperative Complications Pyelonephritis Retrospective Studies Urinary Diversion Journal Article

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D A Husmann, G A McLorie, B M Churchill. 1989. Nonrefluxing colonic conduits: a long-term life-table analysis.. https://doi.org/10.1016/s0022-5347(17)39028-6

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