PURPOSE: Bowel function may be disturbed after intestinal segments are used in urinary reconstruction. The etiology of this condition and its incidence in different @entity1 groups is unclear. We studied the incidence of bowel disturbance in @entity1 who underwent bladder replacement, continent diversion, enterocystoplasty for @entity1344 and ileal conduit diversion. MATERIALS AND METHODS: We evaluated 71 @entity1 after ileal conduit diversion and 82 after bladder reconstruction, including clam enterocystoplasty for @entity1344 in 28, @entity1494 in 26 and nonneuropathic conditions in 28. We noted the severity of symptoms, such as frequency of defecation, @entity294 , @entity11634 , fecal urgency, @entity1241 and @entity294 , as well as quality of life. RESULTS: Of the @entity1 who underwent bladder reconstruction 24% had symptoms of @entity29 preoperatively and 42% of those who were asymptomatic preoperatively described new bowel symptoms postoperatively. These symptoms were most common and severe in 54% of @entity1 after clam enterocystoplasty for @entity1344 compared to 26% with @entity16 , 14% with a @entity12042 and 15% with an ileal conduit. Compared to those in other groups @entity1 who underwent enterocystoplasty for @entity1344 had a significantly higher incidence of @entity717 (18 versus less than 4%, p <0.01), @entity11634 (29 versus less than 8%, p <0.01), fecal urgency (39 versus less than 12%, p <0.001) and @entity1241 (32 versus less than 16%, p <0.001). The length of ileum used for clam enterocystoplasty was only slightly greater than that used for ileal conduit operations (25 versus 18 cm.). Of the @entity1 who underwent enterocystoplasty for @entity1344 29% regretted undergoing the procedure due to subsequent bowel symptoms. CONCLUSIONS: After enterocystoplasty for @entity1344 @entity1 are at risk of significant bowel symptoms. The development of new bowel symptoms was associated with poor @entity1 satisfaction.

XXXX after bladder reconstruction.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity717 :: ('MESH:D009069', 'Disease') :: ['nocturnal bowel movements'] @entity12042 :: ('MESH:C538249', 'Disease') :: ['nonneuropathic condition'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['neurogenic bladder dysfunction'] @entity294 :: ('MESH:D003967', 'Disease') :: ['nocturnal diarrhea', 'explosive diarrhea'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neuropathy'] @entity29 :: ('MESH:D015212', 'Disease') :: ['bowel dysfunction'] @entity11634 :: ('MESH:D005414', 'Disease') :: ['flatus leakage'] @entity1344 :: ('MESH:D043171', 'Disease') :: ['idiopathic detrusor instability', 'detrusor instability'] @entity1241 :: ('MESH:D005242', 'Disease') :: ['fecal incontinence']
@entity29 :: (MESH:D015212,Disease) :: ['Bowel dysfunction']
