Sigmoid orthotopic neobladder after radical cystectomy for bladder tumour: an Indian experience.

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 Int

journal_title

BJU international

authors

Yadav SS,Sadadukhi TC,Sharma KK,Yadav RG,Mathur R

doi

10.1111/j.1464-410X.2006.06541.x

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

403-6

issue

2

eissn

1464-4096

issn

1464-410X

pii

BJU6541

journal_volume

99

pub_type

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