Evolution of XXXX after external continent urinary diversion (Mitrofanoff principle).

@entity1 @entity8 @entity177 @entity16
OBJECTIVE: To study the evolution of @entity8 after external continent urinary diversion (Mitrofanoff principle) (ECUD-M) associated with ileocystoplasty. @entity1 AND METHODS: Over 18 years from 1992 to 2009, ECUD-M with ileocystoplasty was performed in 120 @entity1 with mean age of 25.5 years. @entity8 was evident in 43 @entity1 (17 @entity1 and 26 adults). RESULTS: Ninety percent of @entity1 demonstrated a @entity16 and mild to moderate @entity177 . Initially, all @entity1 underwent continuous bladder drainage for a mean of 3 weeks. Renal function improved in 35 @entity1 , although with persistent mild @entity177 . The other @entity1 demonstrated moderate persistent residual @entity177 . During a mean follow-up of 10 years (range, 1-18 years), renal function returned to normal in 13 @entity1 , stabilized at lower values in 15, and remained moderate in 5. After a mean follow-up of 8 years (range, 6-12 years), @entity177 gradually worsened, increasing to higher values in 6 @entity1 and leading to hemodialysis in 4. One @entity1 underwent living-donor kidney transplantation, with good evolution. CONCLUSION: ECUD-M with ileocystoplasty can lead to normalization unless stabilizationof impaired residual renal function by eliminating the obstructive factor provides self-adequate management of the diversion. The procedure delays for the need forhemodialysis therapy, and enables @entity1 to prepare for kidney transplantation into a previously reconstructed lower urinary tract.
