Thanks Naughty Nan ( I never forgot you) smiling Best Wishes In a message dated 3/9/2012 7:49:35 P.M. Central Standard Time, [email protected] writes:
I Googled it W. General defination: ileovesicostomy /il·eo·ves·i·cos·to·my/ (-ves″ĭ -kos´tah-me) use of a section of ileum to create a channel leading from the urinary bladder upward to the abdominal surface. Here's one site about it: http://www.hindawi.com/journals/au/2009/801038/ I have what is called a Kock (coke) Pouch (or Continent Urinary Diversion). Only 2 Drs. in the country did this procedure back in 1987. I went to Dr. George Webster at Duke University. This is an informative site: http://www.atlasofpelvicsurgery.com/10MalignantDisease/20KockPouchContinentUrostom y/cha10sec20.html. I really love my Kock Pouch, it has a continent stoma - no leakage or smelly bags. I cath myself. The Mitrofanoff Surgery is a bladder augmentation. I don't know if it would be indicated in your situation, Quadius. Look around, acquaint yourself with the different procedures. And get a good picture of what you'll be facing after you recover from the surgery. It's good not to make a hasty decision. I think there's more info on the Care Cure Community Forums: http://sci.rutgers.edu/forum/index.php Hope this helps. Nan ____________________________________ From: "[email protected]" <[email protected]> To: [email protected]; [email protected] Sent: Friday, February 24, 2012 12:01 PM Subject: Re: [QUAD-L] ileovesicostomy Quadius, does this procedure have any common names? Best Wishes In a message dated 2/21/2012 5:51:34 P.M. Central Standard Time, [email protected] writes: I have been experiencing a multitude of problems over the last year and finally I had a cystoscopy done in August which showed there were no stones or any other obstructions. I had been experiencing a lot of pain from the catheter rubbing against the back of the bladder wall. I have managed to tape my suprapubic (SP) against a stat lock device that I'm using on my lower abdomen. This is working well with the pain most of the time, but I am still having problems with my catheter not draining properly at times. Repositioning the bag so that the urine has to travel up seems to help about 50% of the time, but there also seems to be those times when we have to flush with some saline in order to get it draining again. When I explain this to be urologist, who works on a multitude of quadriplegics here in Tampa and as been my urologist for the last 10 years) she informed me that I would be an ideal candidate for the ileovesicostomy. She told me that my catheter had atrophied so significantly that it was probably one of the only options left up to me. I have been procrastinating and thought I had everything resolved, but I have been experiencing a lot of problems lately. I think I'm just delaying the inevitable. Has anyone on this list have the procedure and if so would they mind telling me their experiences? I am searching through forums right now and trying to gather as much information as I can. I'm planning on scheduling another meeting with my urologist in order to allay my fears. I haven't had surgery since I have been paralyzed and I'm terribly frightened of general anesthetic. I don't want to be put back on a ventilator after spending four months of what I now think were the worst months of my life fighting to get off the ventilator. Anyway, if you can help out I really appreciated. Quadius PS please excuse any errors. Among the backup to my backup microphone and it has some static bursts into it right now. I really need to get my computer and microphones within working order again.
