Urinary Tract Diversion and Other Urologic Considerations in Children on CAPD/CCPD

  • Andrew L. Freedman
  • Ricardo González

Abstract

Congenital obstructive uropathies are one of the most common causes of end-stage renal disease in children. Despite significant advances in the diagnosis, treatment and long-term management of these conditions, many children with obstructive uropathy will inevitably progress to renal replacement therapy. Close team oriented collaboration between the pediatric urologist and nephrologist is important to optimize care and ensure the proper sequence of intervention in order to prolong renal function, improve growth, protect peritoneal efficacy, and smooth the transition to eventual transplantation. Despite the well established nature of this relationship in practice, little has been written in the literature specifically addressing this topic. Therefore, this chapter will discuss concepts of urologic care related to the child with expected renal failure and highlight those aspects that may impact upon future dialysis and transplantation. It is only with the coordination of proper urologic treatment with an appreciation of future nephrologic intervention that one may provide the best care for these unfortunate children.

Keywords

Catheter Creatinine Adenocarcinoma Corticosteroid Peri 

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References

  1. 1.
    Sober I: Pelviureterostomy-en-Y: J Urol 107:473, 1972PubMedGoogle Scholar
  2. 2.
    Blocksom BH Jr: Bladder pouch for prolonged tubeless cystotmoy. J Urol 78:398, 1957PubMedGoogle Scholar
  3. 3.
    Smith GHH, Canning DA, Schulman SL, Snyder HM III, Duckett JW: The long-term outcome of posterior urethral valves treated with primary valve ablation and observation. J Urol 155:1730, 1996PubMedCrossRefGoogle Scholar
  4. 4.
    Close CE, Carr MC, Burns MW, Mitchell ME: Lower urinary tract changes after early valve ablation in neonates and infants: is early diversion warranted? J Urol 157:984, 1997PubMedCrossRefGoogle Scholar
  5. 5.
    Kim YH, Horowitz M, Combs A, Nitti VW, Libertti D, Glassberg KI: Comparative urodynamic findings after primary valve ablation, vesicostomy or proximal diversion. J Urol 156:673, 1996PubMedCrossRefGoogle Scholar
  6. 6.
    Jayanthi VR, McLorie GA, Khoury AE, Churchill BM: The effect of temporary cutaneous diversion on ultimate bladder function. J Urol 154:889, 1995PubMedCrossRefGoogle Scholar
  7. 7.
    Denes ED, Barthold JS, Gonzalez R: Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 157:1441–1443, 1997PubMedCrossRefGoogle Scholar
  8. 8.
    Bricker EM: Bladder substitution after pelvic eviseration. Surg Gynecol Obst 30:1511, 1950Google Scholar
  9. 9.
    Middleton AW Jr, Hendren WH: Ileal conduits in children at the Massachusetts General Hospital from 1955 to 1970. J Urol 115:591, 1976PubMedGoogle Scholar
  10. 10.
    Stein R, Fisch M, Stockle M, Demirkesen O, Hohenfellner R: Colonic conduit in children: protection of the upper urinary tract 16 years later. J Urol 156:1146, 1996PubMedCrossRefGoogle Scholar
  11. 11.
    Nguyen DH, González R, Reinberg Y, Fryd D, Najarian JS: Outcome of renal transplantation in urinary diversion or enterocystoplasty. A retrospective control study. J Urol 144:1349, 1990PubMedGoogle Scholar
  12. 12.
    Osterhof G, Hoitsma A, Debruyne F: Kidney transplantation in patients with a urinary diversion. World J Urol 6:91, 1988CrossRefGoogle Scholar
  13. 13.
    Coffey RC: Physiologic implantation of the severed ureter into the intestine. JAMA 56:397, 1911CrossRefGoogle Scholar
  14. 14.
    Goodwin WE, Harris AP, Kaufman JJ, Beal JM: Open, transcolonic ureterointestinal anastomosis: new approach. Surg Gynecol Obst 97:295, 1953Google Scholar
  15. 15.
    Ferris DO, Odel HM: Electrolyte pattern of the blood after bilateral ureterosigmoidostomy. JAMA 142:634, 1950CrossRefGoogle Scholar
  16. 16.
    Sheldon CA, McKinley R, González R: Carcinoma at the site of the ureterosigmoidostomy. Dis Colon Rectum 26:55, 1983PubMedCrossRefGoogle Scholar
  17. 17.
    Leadbetter GW Jr, Zickerman P, Pierce E: Ureterosigmoidostomy and carcinoma of the colon. J Urol 121:732, 1979PubMedGoogle Scholar
  18. 18.
    Rowland RG, Mitchell ME, Bihrle R, Kahnoski RJ, Piser JE: Indiana continent urinary reservoir. J Urol 137:1136, 1987PubMedGoogle Scholar
  19. 19.
    Studer UE, Ackermann D, Casanova GA, et al: Three years experience with ileal low pressure bladder substitute. Br J Urol 63:43,1989PubMedCrossRefGoogle Scholar
  20. 20.
    Thuroff JW, Alken P, Riedmiller H, et al: The MAINZ pouch (mixed augmentation ileum cecum) for bladder augmentation and continent diversion. J Urol 136:17, 1986PubMedGoogle Scholar
  21. 21.
    Süser O, Vates TS, Freedman AL, Smith CA, González R: Results of the Mitrofanoff procedure in urinary tract reconstruction in children. Br J Urol 79:279–282, 1997CrossRefGoogle Scholar
  22. 22.
    Adams MC, Mitchell ME, Rick R: Gastrocystoplasty: an alternative solution to the problem of urological reconstruction in the severely compromised patient. J Urol 140:1152, 1988PubMedGoogle Scholar
  23. 23.
    Nguyen DH, Bain MA, Salmonson KL, Ganesan GS, Burns MW, Mitchell ME: The syndrome of dysuria and hematuria in pediatric urinary reconstruction with stomach. J Urol 150–707, 1993Google Scholar
  24. 24.
    Gosalbez R Jr, Woodard JR, Broecker BH, Warshaw B: Metabolic complications of the use of stomach for urinary reconstruction. J Urol 150:710, 1993PubMedGoogle Scholar
  25. 25.
    Reinberg Y, Manivel JC, Froemming C, Gonzalez R: Perforation of the gastric segment of an augmented bladder secondary to peptic ulcer disease. J Urol 148:369, 1992PubMedGoogle Scholar
  26. 26.
    Mitrofanoff P: Cystostomie continente trans-appendiculaire dans le traitement des vessies neurologiques. Chir Ped 21:297, 1980Google Scholar
  27. 27.
    González R: Renal transplantation into abnormal bladders. Guest Editorial. J Urol 158:895–896, 1997PubMedCrossRefGoogle Scholar
  28. 28.
    González R, LaPointe S, Sheldon CA, Mauer MS: Undiversion in children with chronic renal failure. J Pediatr Surg 19:642, 1984CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Andrew L. Freedman
    • 1
  • Ricardo González
    • 1
  1. 1.Children’s Hospital of MichiganUSA

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