الفهرس 
Introduction and aim of the work
Benign indications for urinary diversionOnly 14 pages are availabe for public view
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Abstract
Bladder substitution is sometimes the optimum solution for agement of some benign pathologies affecting the bladder and/or the bra after failure of other conservative or reconstructive measures. primary objective of bladder substitution is to improve the quality of and to offer the patient a satisfactory functional outcome. Between April 1986 and January 2000, 118 patients (87 males and females) underwent different forms of continent urinary diversion for agement of benign bladder or urethral diseases in Mansoura Urology Nephrology Center. The types of continent urinary diversion had cIuded 51 orthotopic neobladders, 15 continent cutaneous reservoirs and 2 rectal reservoirs. The patients age ranged from 2 to 66 years with edian age of 30.5 years. Bilharzial contracted bladder was the most ommon indication for bladder substitution in this study (39.8%) , Ilowed by bladder exstrophy (20.4%) and urethral strictures (12.7%). Inspite of the complexity of the surgical procedur,es, there were no ases of mortality encountered in this study. Early postoperative omplications were seen in 14 patients (11.8%) in the form of urinary eakage, pelvic abscess, wound sepsis, deep venous thrombosis or stress astric ulcer. All these early complications were.managed conservatively ith good outcome. The mean followup period for our patients in this series was 6.5:t43.8 months. Analysis of late complications showed an evid~nce of ureterointestinal strictures in 3.9% of cases with orthotopic substitutes and in 11.9% of cases with rectal reservoirs wl:I;le pouchoureteral reflux as seen in 23.5% of patients with orthotopic substitution and in 9.6% of cases with rectal reservoirs. There were no reported. cases of ureteroileal strictures or reflux among patients with continent cutaneous reservoirs. Pouch stones were diagnosed in 21.5% of patients with orthotpoic neobladders, 13.3% of patients with continent cutaneous reservoirs and in 3.8% of cases with rectal reservoirs.