Abstract:
OBJECTIVE:To determine the long-term results of constructing a sigmoid neobladder after radical cystectomy for transitional cell carcinoma (TCC) of the urinary bladder. PATIENTS AND METHODS:The study included 170 patients with TCC of the bladder and a normal sigmoid colon. After radical cystectomy the neobladder was formed by completely detubularizing an isolated sigmoid colon segment. Subsequently patients were followed by clinical, biochemical, radiological and urodynamic assessments. RESULTS:Four patients died soon after surgery; the neobladder-related delayed complications were death in three patients, loss of five renal units, and electrolyte imbalance in five patients. Uretero-intestinal anastomotic narrowing was another frequent delayed complication. Most (97%) patients had nocturnal incontinence, and most voided with a good stream with a minimal postvoid residual urine volume. CONCLUSION:The sigmoid neobladder, despite some limitations, is the best option for diverting urine after radical cystectomy.
journal_name
BJU Intjournal_title
BJU internationalauthors
Yadav SS,Sadadukhi TC,Sharma KK,Yadav RG,Mathur Rdoi
10.1111/j.1464-410X.2006.06541.xsubject
Has Abstractpub_date
2007-02-01 00:00:00pages
403-6issue
2eissn
1464-4096issn
1464-410Xpii
BJU6541journal_volume
99pub_type
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更新日期:2016-08-01 00:00:00
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