The ileal ureter neobladder is associated with a high success and a low complication rate
- PMID: 8627828
The ileal ureter neobladder is associated with a high success and a low complication rate
Abstract
Purpose: Several different methods to construct a bladder substitute after cystectomy have been described. We evaluated our experience with the Studer ileal ureter neobladder during the last 5 years.
Materials and methods: We reviewed retrospectively the results in 32 patients who underwent construction of a slightly modified ileal neobladder from that originally described. Mean followup was 25 months (range 6 to 68).
Results: Patients experienced few complications and only 1 required reoperation. Daytime and nighttime continence rates were 94 and 74%, respectively. One patient sustained a ureteral stricture resulting in hydronephrosis (1 of 64 renal units).
Conclusions: The results reveal the ileal neobladder to be an easily constructed pouch with a low complication rate, and a high success rate in regard to continence and the establishment of adequate capacity at low pressure. Within the study period upper tract preservation was excellent. However, a 10 to 15-year followup is indicated to confirm our initial results.
Comment in
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Reconstruction and diversion.J Urol. 1996 May;155(5):1589-90. doi: 10.1016/s0022-5347(01)66136-6. J Urol. 1996. PMID: 8627829 No abstract available.
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Re: The ileal ureter neobladder is associated with a high success and a low complication rate.J Urol. 1997 Jun;157(6):2266. doi: 10.1016/s0022-5347(01)64755-4. J Urol. 1997. PMID: 9146648 No abstract available.
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