[The Studer orthotopic bladder after radical cystectomy--observation of more than 40 patients]

Abstract

Purpose: To perform our 5-years experience in 40 patienets with orthotopic bladder substitution in Studer's technic follow radical cystectomy.

Materials and methods: We created orthotopic neobladder using segment of terminal ileum in Studer's fashion in 40 patients. To decrease peristaltic and respectively bowel pressure, isolated segment was opened longitudinal and crossed sutured. This way we created a low pressure urinary reservoir.

Results: All patients were completely continent. Bladder capacity was 400-700 ml. At 4 years followup the patients didn't require correction in their therapy for metabolic disorder. Eight of the patients undergone this procedure died in 3-50 monts postoperatively for pelvic recurrence.

Conclusion: Studer's orthotopic neobladder is an exellent alternative for patients undergone radical cystectomy. Thechnical ability decreases the operating time and surgical complications significantly.