RISK OF BOWEL DYSFUNCTION WITH DIARRHEA AFTER CONTINENT URINARY-DIVERSION WITH ILEAL AND ILEOCECAL SEGMENTS

Purpose: In a retrospective study we evaluated the risk of diarrhea af ter continent urinary diversion using ileal and ileocecal segments. Ma terials and Methods: We interviewed 100 patients of whom 65 underwent ileal and 35 underwent-ileocecal resection. Results: Of the 65 patient s who underwent ileal resection 7 (11%) and of the 35 who underwent il eocecal resection 8 (23%) reported chronic diarrhea of greater than 6 months in duration, which subsided spontaneously in 2 patients in each group. In each group 3 patients responded well to cholestyramine trea tment and 3 responded to loperamid or psyllium. Two patients with ileo cecal resection failed to respond to drug therapy. Conclusions: The ri sk of diarrhea after ileocecal resection seems to be twice as high as after ileal resection. Most patients responded to symptomatic drug the rapy. Alternative surgical therapies should be considered when risk fa ctors are present.