Abstract：
OBJECTIVES:To introduce a modified technique for urethral anastomosis in orthotopic neobladder reconstruction. METHODS:Between January 2002 and August 2008, about 141 consecutive patients (130 men and 11 women) underwent total cystectomy and orthotopic neobladder reconstruction in which a modified technique was used to anastomosed the caudal-most part of the intestinal neobladder directly to the urethral remnant. The emptying of the neobladder, the early and late complications at the urethral anastomosis was evaluated. RESULTS:Mean patient age at surgery was 58.4 years (range, 33-83) and median follow-up was 42 months (range, 4-83 months). Early urine leakage at the vesicourethral anastomosis developed in 1 patient, and was cured by extending catheter drainage. A total of 138 patients had good emptying of the neobladder, with residual urine volume < 50 mL. Three patients had residual urine volume > 100 mL, and achieved good emptying after intermittent catheterization once a week for 6-12 months. No late complications occurred at the urethral anastomosis site. Daytime continence was good or satisfactory in 97.0% of patients and night-time continence was good or satisfactory in 88.5% of patients. CONCLUSIONS:The clinical outcome of our modified technique for urethral anastomosis in orthotopic neobladder substitution was excellent, but the advantage of this technique needs prospective controlled study.
journal_name
Urologyjournal_title
Urologyauthors
Hou GL,Li YH,Zhang ZL,Xiong YH,Chen XF,Yao K,Liu ZW,Han H,Qin ZK,Zhou FJdoi
10.1016/j.urology.2009.06.082subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1145-9issue
5eissn
0090-4295issn
1527-9995pii
S0090-4295(09)02216-Xjournal_volume
74pub_type
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