Gelister J S, Woodhouse C R
Department of Urology, Royal Marsden Hospital, London.
Br J Urol. 1991 Oct;68(4):376-9. doi: 10.1111/j.1464-410x.1991.tb15354.x.
Seventeen patients with either current (n = 14) or previous (n = 3) pelvic malignant disease underwent continent urinary diversion using the Mitrofanoff principle in 16 and a Kock pouch in 1. Eight patients had bladder carcinoma, 6 had gynaecological malignancy, 2 had rectal cancers and 1 had a squamous cell carcinoma of the perineum. Fourteen underwent synchronous exenterative surgery and continent suprapubic diversion; plastic reconstructive procedures were required in 4. There were 2 post-operative deaths and 5 patients have developed further tumour recurrence. Continence was satisfactory in all patients with a median interval of intermittent self-catheterisation of 4 h.