[Orthotopic bladder from the small intestine following radical cystectomy according to Studer's procedure]

Abstract

After radical cystoprostatovesikulectomy, an ileal bladder substitute had been performed in 14 male patients à modo Studer. In order to avoid peristalsis with high pressure peaks resulting in incontinence, the antimesenteric border was transsected, and an ileal low-pressure pouch was created. One to two months after operation, the continence for urine was good or excellent. After a follow-up time of 12 months, no metabolic disorders requirling any substitution, nor pyelonephritic changes were observed.