Continent cutaneous urinary diversion in patients with spinal cord injury.

Abstract

Retrospective study. To examine the functional results and effect on quality of life of continent cutaneous urinary diversion in spinal cord injured patients. Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden. A total of 10 patients with spinal cord injury (SCI). The patients were operated on with an ileal reservoir (Kock reservoir or T-pouch), Cr-EDTA clearance was determined preoperatively and at follow-up. The patients answered a questionnaire concerning reservoir function, various activities and quality of life. The patient charts were reviewed. One patient died of pulmonary embolism 3 years after surgery. Two patients were reoperated on for reservoir perforation. All patients were satisfied/very satisfied with their reservoirs. Half of them reported improved ability to perform various activities. Eight out of nine patients reported improved quality of life. For a selected group of patients with SCI, continent cutaneous urinary diversion provides successful outcome with improved quality of life.