Bissada, Nabil K; Keane, Thomas; Caczmarek, Anthony T; El-Zawahry, Ahmed; Fahmy, Wahib E; Bissada, Mary A; Yakout, Hosam H
description
Established techniques for urinary diversion are not ideal for certain patients such as those with extensive pelvic irradiation, metabolic acidosis, short bowel syndrome or renal insufficiency. In a multi-institutional study a gastrointestinal reservoir was previously found to provide metabolic balance in such patients. We used a coapted gastric tube as the continent outlet in patients undergoing gastrointestinal urinary diversion. We evaluate the long-term functional results of the gastric tube to provide continence and report our long-term followup results.