From January 1989 to September 1993, 24 male patients between the age of 39 and 65 underwent cystectomy for cancer and received a Studer orthotopic ileal neobladder, using the Wallace 1st and 2nd techniques for the uretero-ileostomy, without antireflux mechanisms. After 6 months, 23 patients were re-evaluated clinically and with radiological and urodynamic studies. 22 patients were continent by day and 16 also at night, with good intervals between micturition (2-4 hours). Voiding on command and periodical catheterism appeared to be useful in avoiding over distension. Renal function was generally preserved. In 7 patients vesico-ureteral reflux was found, but this appeared less damaging to renal function than stenosis, which often appears with the use of antireflux techniques. Capacity, compliance and endovesical pressure were entirely satisfactory in 21 patients (91%) confirming that the Studer orthotopic neobladder is an excellent solution to bladder substitution.
|Number of pages||2|
|Journal||Acta Urologica Italica|
|Publication status||Published - 1995|
- orthotopic ileal neobladder
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