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Complications of the Kock Pouch
BOOE.: REVIE 1)V8
group 2 consisted of six patients with recurrent cervical carcinoma; group 3 consisted of seven patients with complications of urinary conduits, and group 4 consisted of eight patients with a variety of malignant and benign gynecologic diseases causing ureteral obstruction. One perinephric hematoma and one perinephric abscess (4 % ) occurred during primary percutaneous nephrostomy diversion of 53 renal units. One (3%) percutaneous nephrostomy-related death caused by sepsis was observed in 34 patients. Only four (12%) patients with significant intrinsic renal disease did not have effective normalization of renal function by percutaneous nephrostomy. Percutaneous nephrostomies allow rapid and reliable urinary diversion without the morbidity and mortality of operative techniques. Percutaneous nephrostomy should be considered for relief of ureteral obstruction in patients with untreated cervical carcinoma who may enjoy prolonged palliation or cure, in patients with complications of previous urinary conduits as a temporizing method of urinary diversion, and in patients with benign or chemotherapy-sensitive pelvic malignancies causing ureteral obstruction. The use of percutaneous nephrostomy in patients with recurrent carcinoma of the cervix should be individualized on the basis of expectations for prolonged functional palliation.
Editorial Comment: Placement of a nephro§tomy tube in patient§ with pelvic cancer often creates significant urological management problems. If patient§ have only regional disease or are potential candidates for cmre some patients can benefit. The use of a nephrostomy tube should be individualized as the authors have indicated. Fray F. Marshall, M.D. Adenocarcinoma of the Caecum Occurring in a Caecocystoplasty
R.
GRAINGER, A. KENNY AND A. WALSH, Department of Urology, The Charitable Infirmary, Dublin, Ireland
Brit. J. UroL, 61: 164-165, 1988
Adenocarcinoma of the Bladder 29 Years After Ueocystoplasty
8.
S. 0HSHIMA, T. KINUKAWA, 0. R. HATTORI ANDS. ~Trology and Clinical Pathology, Shakai Haken pital, Nagoya, Japan HASEGAWA,
Y.
TAKEUCHI,
Brit. J. Urol., 61: 162, 1988
Editorial Comment: As expected, adenocai.·cinomas are now being reported in association with bowel placed in continuity with the urinary tract. It still is not clea1·, however, whether there will be a high incidence of adenocarcinoma in the absence of fecal contamination. It would appear that the incidence of neoplasms will not be as high as was seen in ureterosigmoidostomies when the fecal and urinary stream was in contact. Fray F. Marshall, M.D. Complications of Urinary Tract Undiversion J. MANDELL, S. B. BAUER, A. H. COLODNY AND A. B. RETIK,
Department of Surgery (Urology), Harvard Medical School,
~,
nf
I'he -Children,
Jvfassachusetts Urol. Clin. N. Amer., 15: 207-217, 1988
G.
LIESKOVSKY, D. G. SKINNER AND S. D. Urology, of Southern cine, Los Angeles, California
UroL Clin. N.
15: 195-205, 1988
Complications of the
Procedure
M. CAMEY, H. BOTTO AND E. RICHARD, Division of Urology, Centre Medico-Chirurgical Foch, Suresnea, and Department of Urology, Hopital La Pitie Salpetriere, France UroL Clin. N.
15: 249-255, 1988
Editorial Comment: The!le 3 studies cover the complications of urina1·y tract undiversion, the complications of the Kock pouch and the complications of the Camey procedureso They offer insight into the management of complications in these ,e,,.uu,::;un demanding operations.
BOOK REVIEWS Contemporary Management of Impotence and Infertility E. A. TANAGHO, T. F. LUE AND R. D. McCLURE, Baltimore: The Williams & Wilkins 386 pages, 1988 This multiauthored book attempts to present an review of the current knowledge 1::e:cucJ.1u" male and male infertility. The first 4 sections of the book are dedicated to the former and the latter 6 sections to male Most of the although the 2 commentary should have been included in the substance of other The book is well chapters are cu11Hco.11} relevant and written perts in the field. The initial part of the deals with the anatomy and of and this is followed men with endocrine nocturnal namic infusion cavernosometry and In addi,u1
group 2 consisted of six patients with recurrent cervical carcinoma; group 3 consisted of seven patients with complications of urinary conduits, and group 4 consisted of eight patients with a variety of malignant and benign gynecologic diseases causing ureteral obstruction. One perinephric hematoma and one perinephric abscess (4 % ) occurred during primary percutaneous nephrostomy diversion of 53 renal units. One (3%) percutaneous nephrostomy-related death caused by sepsis was observed in 34 patients. Only four (12%) patients with significant intrinsic renal disease did not have effective normalization of renal function by percutaneous nephrostomy. Percutaneous nephrostomies allow rapid and reliable urinary diversion without the morbidity and mortality of operative techniques. Percutaneous nephrostomy should be considered for relief of ureteral obstruction in patients with untreated cervical carcinoma who may enjoy prolonged palliation or cure, in patients with complications of previous urinary conduits as a temporizing method of urinary diversion, and in patients with benign or chemotherapy-sensitive pelvic malignancies causing ureteral obstruction. The use of percutaneous nephrostomy in patients with recurrent carcinoma of the cervix should be individualized on the basis of expectations for prolonged functional palliation.
Editorial Comment: Placement of a nephro§tomy tube in patient§ with pelvic cancer often creates significant urological management problems. If patient§ have only regional disease or are potential candidates for cmre some patients can benefit. The use of a nephrostomy tube should be individualized as the authors have indicated. Fray F. Marshall, M.D. Adenocarcinoma of the Caecum Occurring in a Caecocystoplasty
R.
GRAINGER, A. KENNY AND A. WALSH, Department of Urology, The Charitable Infirmary, Dublin, Ireland
Brit. J. UroL, 61: 164-165, 1988
Adenocarcinoma of the Bladder 29 Years After Ueocystoplasty
8.
S. 0HSHIMA, T. KINUKAWA, 0. R. HATTORI ANDS. ~Trology and Clinical Pathology, Shakai Haken pital, Nagoya, Japan HASEGAWA,
Y.
TAKEUCHI,
Brit. J. Urol., 61: 162, 1988
Editorial Comment: As expected, adenocai.·cinomas are now being reported in association with bowel placed in continuity with the urinary tract. It still is not clea1·, however, whether there will be a high incidence of adenocarcinoma in the absence of fecal contamination. It would appear that the incidence of neoplasms will not be as high as was seen in ureterosigmoidostomies when the fecal and urinary stream was in contact. Fray F. Marshall, M.D. Complications of Urinary Tract Undiversion J. MANDELL, S. B. BAUER, A. H. COLODNY AND A. B. RETIK,
Department of Surgery (Urology), Harvard Medical School,
~,
nf
I'he -Children,
Jvfassachusetts Urol. Clin. N. Amer., 15: 207-217, 1988
G.
LIESKOVSKY, D. G. SKINNER AND S. D. Urology, of Southern cine, Los Angeles, California
UroL Clin. N.
15: 195-205, 1988
Complications of the
Procedure
M. CAMEY, H. BOTTO AND E. RICHARD, Division of Urology, Centre Medico-Chirurgical Foch, Suresnea, and Department of Urology, Hopital La Pitie Salpetriere, France UroL Clin. N.
15: 249-255, 1988
Editorial Comment: The!le 3 studies cover the complications of urina1·y tract undiversion, the complications of the Kock pouch and the complications of the Camey procedureso They offer insight into the management of complications in these ,e,,.uu,::;un demanding operations.
BOOK REVIEWS Contemporary Management of Impotence and Infertility E. A. TANAGHO, T. F. LUE AND R. D. McCLURE, Baltimore: The Williams & Wilkins 386 pages, 1988 This multiauthored book attempts to present an review of the current knowledge 1::e:cucJ.1u" male and male infertility. The first 4 sections of the book are dedicated to the former and the latter 6 sections to male Most of the although the 2 commentary should have been included in the substance of other The book is well chapters are cu11Hco.11} relevant and written perts in the field. The initial part of the deals with the anatomy and of and this is followed men with endocrine nocturnal namic infusion cavernosometry and In addi,u1