The use of bowel in urinary diversion has increased markedly over the last 15 years and this trend is expected to continue. Complications that have been noted in patients with urinary intestinal diversion occuring as a consequence of metabolic abnormalities include disordered electrolyte metabolism, osteomalacia, growth retardation, calculus formation, infection, abnormal drug metabolism. The factors that influence the intensity of absorption of urinary electrolites by intestinal mucosa include length of time of retention of the urine, concentration of solute in the urine, type of urinary diversion, quality of emptying, capacity of the reservoir, surface area of the bowel used, renal function, infection and chronic dilatation. Regular draining of the urinary intestinal diversion, vigilant metabolic follow-up, and careful patient selection are essential to prevent metabolic abnormalities.
Nostra esperienza nella litotrissia extracorporea in regime di DH con litotritore elettromagnetico / M. Gelosa, G. Zanetti, S. Confalonieri, P. Bernardini, B. Mangiarotti, M. Serrago, C. Castelnuovo, A.L. Romanò, E. Montanari, A. Trinchieri, E. Pisani. - In: ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA. - ISSN 1124-3562. - 75:Suppl. 3(2003 Sep), pp. 14-14. ((Intervento presentato al 5. convegno Congresso Nazionale Società Urologia Nuova tenutosi a Milano nel 2003.
Nostra esperienza nella litotrissia extracorporea in regime di DH con litotritore elettromagnetico
E. Montanari;
2003
Abstract
The use of bowel in urinary diversion has increased markedly over the last 15 years and this trend is expected to continue. Complications that have been noted in patients with urinary intestinal diversion occuring as a consequence of metabolic abnormalities include disordered electrolyte metabolism, osteomalacia, growth retardation, calculus formation, infection, abnormal drug metabolism. The factors that influence the intensity of absorption of urinary electrolites by intestinal mucosa include length of time of retention of the urine, concentration of solute in the urine, type of urinary diversion, quality of emptying, capacity of the reservoir, surface area of the bowel used, renal function, infection and chronic dilatation. Regular draining of the urinary intestinal diversion, vigilant metabolic follow-up, and careful patient selection are essential to prevent metabolic abnormalities.Pubblicazioni consigliate
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