Continent cutaneous urinary diversion in patients with spinal cord injury.

STUDY DESIGN

Retrospective study.

OBJECTIVE

To examine the functional results and effect on quality of life of continent cutaneous urinary diversion in spinal cord injured patients.

SETTING

Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden.

SUBJECTS

A total of 10 patients with spinal cord injury (SCI).

METHOD

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.

RESULTS

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.

CONCLUSION

For a selected group of patients with SCI, continent cutaneous urinary diversion provides successful outcome with improved quality of life.