Fazlıoğlu Adem, Salman Mehmet Yılmaz, Kurtuluş Fatih Osman, Ünlüer Süleyman Erdinç
Department of Urology, Medical Park Hospital, İstanbul, Turkey.
Department of Urology, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul, Turkey.
Turk J Urol. 2018 Dec 4;45(Supp. 1):S147-S149. doi: 10.5152/tud.2018.30049. Print 2019 Nov.
Radical cystectomy (RC) with urinary diversion (UD) is still the standard treatment method for muscle-invasive bladder cancer. Type of UD is determined according to some characteristics of the patient and the tumor. Even in the most experienced hands, alternative scenarios may require an alternative diversion, including emergency UD for complications requiring immediate take down of the initial UD, tumor recurrence impacting the urinary tract or the UD, progressive impairment of renal function (in patients with a continent UD), malfunction/complications of the initial UD, and patient dislike of a stoma. We report a case of undiversion with natural history and outcome in a patient who had previously undergone RC and ileal conduit performed.
根治性膀胱切除术（RC）联合尿流改道（UD）仍是肌层浸润性膀胱癌的标准治疗方法。尿流改道的类型根据患者和肿瘤的一些特征来确定。即使是经验最丰富的医生，在某些情况下也可能需要采用替代的尿流改道方式，包括因并发症需要立即拆除初始尿流改道装置而进行的急诊尿流改道、影响尿路或尿流改道装置的肿瘤复发、肾功能进行性损害（在采用可控性尿流改道的患者中）、初始尿流改道装置的功能障碍/并发症以及患者对造口的厌恶。我们报告了一例曾接受根治性膀胱切除术和回肠膀胱术的患者进行尿流改道逆转的自然病程及结果。
