Journal: |
Clinical Case Reports |
Manuscript ID |
CCR3-2020-22 |
Wiley – Manuscript type |
Case Report |
Date Submitted by the
Author:
|
22 DECEMBER 2020
|
Complete List of Authors:
|
Mudimu Cathbert; DEPT OF SURGERY, FACULTY OF MEDICINE AND HEALTH
SCIENCES-UZ (FMHS-UZ)
Dube Daud Athanasius; DEPT OF SURGERY, FACULTY OF MEDICINE AND HEALTH
SCIENCES-UZ
|
Search Terms: |
schistosomiasis, cystectomy, orthotopic urinary
diversion |
Abstract: |
Chronic urinary schistomiasis may present with obstructive
uropathy, contracted bladder, among others as a result of extensive
ureteral fibrosis. Surgical intervention is guided by renal function,
severity of ureteral involvement and bladder capacity during close
follow-up. Restoration of bladder capacity with orthotopic continent
Urinary diversion and sparing of the trigone, preservation of renal
function is possible in patients with progressive manifestations of
chronic schistosomiasis. Functional and quality of life outcomes are
markedly improved in carefully selected patients undergoing
continent urinary diversion with a follow up period of more than fifteen
years. |