Open Access

Urinary undiversion from a sigma-rectum pouch to a cutaneous urinary stoma as a treatment for severe metabolic disorders post-radical cystectomy: A case report

  • Authors:
    • Hua Shen
    • Kai Liao
    • Weili Wu
    • Hongbo Yu
    • Hongfei Wu
  • View Affiliations

  • Published online on: October 21, 2019     https://doi.org/10.3892/etm.2019.8111
  • Pages: 4881-4887
  • Copyright: © Shen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

A total of six male patients, who had undergone radical cystectomy and sigma‑rectum pouch surgery due to bladder cancer (2‑5 years previously), developed hyperchloremic metabolic acidosis, hypokalemia and renal dysfunction. The patients underwent urinary undiversion surgery (the pouch was isolated from the intestinal tract, abdominal ostomy was performed, and the sigmoid colon and rectum were reconnected) and blood gas and electrolyte analysis and renal function were compared pre‑ and post‑surgery. Blood hydrocarbonate levels significantly improved 3 months post‑surgery compared with the preoperative levels (17.90±4.12 vs. 7.57±4.25; P=0.026). At 6 months post‑surgery, blood pH (7.36±0.04 vs. 7.16±0.08; P=0.028) and potassium levels (3.95±0.38 vs. 3.12±0.21; P=0.032) were found to have improved significantly compared with the pre‑surgery levels, and remained normal. Serum creatinine levels decreased significantly from the preoperative levels at 6 months post‑surgery (213.00±44.85 vs. 304.67±55.58; P=0.028). Serum chlorine (99.17±2.75 vs. 110.90±4.38; P=0.038) significantly improved until 3 years post‑surgery. The results of this case report indicated that urinary undiversion from a sigma‑rectum pouch to a cutaneous urinary stoma that separates the pouch and intestine may be a beneficial treatment for post‑sigma‑rectum pouch surgery acidosis and electrolyte disturbances.
View Figures
View References

Related Articles

Journal Cover

December 2019
Volume 18 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
APA
Shen, H., Liao, K., Wu, W., Yu, H., & Wu, H. (2019). Urinary undiversion from a sigma-rectum pouch to a cutaneous urinary stoma as a treatment for severe metabolic disorders post-radical cystectomy: A case report. Experimental and Therapeutic Medicine, 18, 4881-4887. https://doi.org/10.3892/etm.2019.8111
MLA
Shen, H., Liao, K., Wu, W., Yu, H., Wu, H."Urinary undiversion from a sigma-rectum pouch to a cutaneous urinary stoma as a treatment for severe metabolic disorders post-radical cystectomy: A case report". Experimental and Therapeutic Medicine 18.6 (2019): 4881-4887.
Chicago
Shen, H., Liao, K., Wu, W., Yu, H., Wu, H."Urinary undiversion from a sigma-rectum pouch to a cutaneous urinary stoma as a treatment for severe metabolic disorders post-radical cystectomy: A case report". Experimental and Therapeutic Medicine 18, no. 6 (2019): 4881-4887. https://doi.org/10.3892/etm.2019.8111