Behaviour and urodynamic properties of orthotopic ileal bladder substitute after radical cystectomy

Daniele Porru, A. Dore, M. Usai, G. Campus, A. Delisa, R. M. Scarpa, E. Usai

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The study included 18 men, submitted to urodynamic investigation 9-18 months after cystoprostatectomy for bladder cancer and bladder substitution with a detubularized ileal segment as described by Studer-Zingg. Sixteen patients were continent by day and 3 were incontinent during the night so as to require the use of a condom catheter. The residual urine was over 100 ml in 3 patients, while it was low or absent in the remainder. Micturition was performed by straining, and maximal flow rates were normal, although the pattern was intermittent. The incidence of nocturnal incontinence was 55.5%. Measurement of the urethral pressure profile revealed a shortened functional length, and low pressure was found in 3 patients, with a maximum urethral closure pressure 2O. During extramural ambulatory urodynamic monitoring, pressure values in the neobladder usually ranged below 20 cm H2O and exceeded 34 cm H2O in only 2 patients who complained of daytime and nocturnal incontinence. The urodynamic features of the neobladder in patients who underwent radical cystoprostatectomy and bladder replacement with a detubularized ileal segment indicate low pressure at high-level filling.

Original languageEnglish
Pages (from-to)30-33
Number of pages4
JournalUrologia Internationalis
Volume53
Issue number1
DOIs
Publication statusPublished - 1994

Fingerprint

Urodynamics
Cystectomy
Urinary Bladder
Pressure
Urinary Bladder Neoplasms
Ambulatory Monitoring
Urination
Condoms
Catheters
Urine
Incidence

Keywords

  • Detubularized intestinal substitute
  • Studer-Zingg neobladder
  • Urodynamic investigation

ASJC Scopus subject areas

  • Urology

Cite this

Behaviour and urodynamic properties of orthotopic ileal bladder substitute after radical cystectomy. / Porru, Daniele; Dore, A.; Usai, M.; Campus, G.; Delisa, A.; Scarpa, R. M.; Usai, E.

In: Urologia Internationalis, Vol. 53, No. 1, 1994, p. 30-33.

Research output: Contribution to journalArticle

Porru, Daniele ; Dore, A. ; Usai, M. ; Campus, G. ; Delisa, A. ; Scarpa, R. M. ; Usai, E. / Behaviour and urodynamic properties of orthotopic ileal bladder substitute after radical cystectomy. In: Urologia Internationalis. 1994 ; Vol. 53, No. 1. pp. 30-33.
@article{28e002f2656f4c33a0f939fe6463ee71,
title = "Behaviour and urodynamic properties of orthotopic ileal bladder substitute after radical cystectomy",
abstract = "The study included 18 men, submitted to urodynamic investigation 9-18 months after cystoprostatectomy for bladder cancer and bladder substitution with a detubularized ileal segment as described by Studer-Zingg. Sixteen patients were continent by day and 3 were incontinent during the night so as to require the use of a condom catheter. The residual urine was over 100 ml in 3 patients, while it was low or absent in the remainder. Micturition was performed by straining, and maximal flow rates were normal, although the pattern was intermittent. The incidence of nocturnal incontinence was 55.5{\%}. Measurement of the urethral pressure profile revealed a shortened functional length, and low pressure was found in 3 patients, with a maximum urethral closure pressure 2O. During extramural ambulatory urodynamic monitoring, pressure values in the neobladder usually ranged below 20 cm H2O and exceeded 34 cm H2O in only 2 patients who complained of daytime and nocturnal incontinence. The urodynamic features of the neobladder in patients who underwent radical cystoprostatectomy and bladder replacement with a detubularized ileal segment indicate low pressure at high-level filling.",
keywords = "Detubularized intestinal substitute, Studer-Zingg neobladder, Urodynamic investigation",
author = "Daniele Porru and A. Dore and M. Usai and G. Campus and A. Delisa and Scarpa, {R. M.} and E. Usai",
year = "1994",
doi = "10.1159/000282627",
language = "English",
volume = "53",
pages = "30--33",
journal = "Urologia Internationalis",
issn = "0042-1138",
publisher = "S. Karger AG",
number = "1",

}

TY - JOUR

T1 - Behaviour and urodynamic properties of orthotopic ileal bladder substitute after radical cystectomy

AU - Porru, Daniele

AU - Dore, A.

AU - Usai, M.

AU - Campus, G.

AU - Delisa, A.

AU - Scarpa, R. M.

AU - Usai, E.

PY - 1994

Y1 - 1994

N2 - The study included 18 men, submitted to urodynamic investigation 9-18 months after cystoprostatectomy for bladder cancer and bladder substitution with a detubularized ileal segment as described by Studer-Zingg. Sixteen patients were continent by day and 3 were incontinent during the night so as to require the use of a condom catheter. The residual urine was over 100 ml in 3 patients, while it was low or absent in the remainder. Micturition was performed by straining, and maximal flow rates were normal, although the pattern was intermittent. The incidence of nocturnal incontinence was 55.5%. Measurement of the urethral pressure profile revealed a shortened functional length, and low pressure was found in 3 patients, with a maximum urethral closure pressure 2O. During extramural ambulatory urodynamic monitoring, pressure values in the neobladder usually ranged below 20 cm H2O and exceeded 34 cm H2O in only 2 patients who complained of daytime and nocturnal incontinence. The urodynamic features of the neobladder in patients who underwent radical cystoprostatectomy and bladder replacement with a detubularized ileal segment indicate low pressure at high-level filling.

AB - The study included 18 men, submitted to urodynamic investigation 9-18 months after cystoprostatectomy for bladder cancer and bladder substitution with a detubularized ileal segment as described by Studer-Zingg. Sixteen patients were continent by day and 3 were incontinent during the night so as to require the use of a condom catheter. The residual urine was over 100 ml in 3 patients, while it was low or absent in the remainder. Micturition was performed by straining, and maximal flow rates were normal, although the pattern was intermittent. The incidence of nocturnal incontinence was 55.5%. Measurement of the urethral pressure profile revealed a shortened functional length, and low pressure was found in 3 patients, with a maximum urethral closure pressure 2O. During extramural ambulatory urodynamic monitoring, pressure values in the neobladder usually ranged below 20 cm H2O and exceeded 34 cm H2O in only 2 patients who complained of daytime and nocturnal incontinence. The urodynamic features of the neobladder in patients who underwent radical cystoprostatectomy and bladder replacement with a detubularized ileal segment indicate low pressure at high-level filling.

KW - Detubularized intestinal substitute

KW - Studer-Zingg neobladder

KW - Urodynamic investigation

UR - http://www.scopus.com/inward/record.url?scp=0028108828&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028108828&partnerID=8YFLogxK

U2 - 10.1159/000282627

DO - 10.1159/000282627

M3 - Article

C2 - 7974882

AN - SCOPUS:0028108828

VL - 53

SP - 30

EP - 33

JO - Urologia Internationalis

JF - Urologia Internationalis

SN - 0042-1138

IS - 1

ER -