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Current Bladder Dysfunction Reports

Erschienen in:

01.12.2015 | Geriatric Bladder Dysfunction (GM Ghoniem, Section Editor)

Urinary Diversion in the Elderly

verfasst von: Hajar I. Ayoub, O. Lenaine Westney

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 4/2015

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Abstract

The elderly or older population segment has a heterogenous definition in the literature with the majority including patients aged between 60 and 80 years. Several studies have proven that a cystectomy can be performed safely in the elderly population. We sought out to review the literature identifying the specific complications and the considerations requiring attention when performing a urinary diversion on an elderly patient. A review of literature performed using PubMed revealed paucity of citations specifically looking at different urinary diversion techniques and the specific complications related in an elderly population. However, we extrapolated additional data from articles that studied cystectomy surgical cohorts with identifiable age stratification. Particular complications and areas deserving of additional attention included gastrointestinal, renal, uretero-enteric anastomotic technique, metabolic disorders, quality of life, and voiding dysfunction. Detailed history and proper counseling of the patient and family are central to the selection of the appropriate urinary diversion technique and help maintain realistic patient expectations with a higher satisfaction rate. It is of paramount importance when considering continent urinary diversions to address the feasibility of adhering to a higher level of maintenance and the patient’s ability to withstand diversion-related complications.

World Health Organization; Health statistics and information systems—definition of an old or elderly person. http://www.who.int/healthinfo/survey/ageingdefnolder/en/

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Titel: Urinary Diversion in the Elderly
verfasst von: Hajar I. Ayoub
O. Lenaine Westney
Publikationsdatum: 01.12.2015
Verlag: Springer US
Erschienen in: Current Bladder Dysfunction Reports / Ausgabe 4/2015
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-015-0338-z

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