Detubularized rectosigmoid neobladder in women after cystectomy for bladder cancer.

Abstract:

BACKGROUND AND OBJECTIVES:We present the long-term functional results of a new technique for bladder substitution after cystectomy for bladder cancer in women. METHODS:Between 1991 and 1995, 10 women underwent radical cystectomy for bladder cancer with a new technique. We created a detubularized rectosigmoid neobladder associated with either a terminal colostomy or intrasphincteric perineal colostomy section (Heitz-Boyer-Hovelacque). We evaluated neobladder functioning over almost 5 years by means of urodynamic studies, ultrasound scans, urograms and pouchgrams, and renal function tests. RESULTS:Neobladder function was excellent in all patients, with good diurnal and nocturnal urinary continence, voiding patterns, and preservation of the upper urinary tract. CONCLUSIONS:This new technique, which is a modification of the standard rectal or rectosigmoid neobladder technique, is a valid alternative to the ortothopic neobladder in women, with good functional results.

journal_name

J Surg Oncol

authors

Mearini E,Mearini L,Zucchi A,Costantini E,Goracci G,Porena M

doi

10.1002/1096-9098(200005)74:1<49::aid-jso12>3.0.co

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

49-52

issue

1

eissn

0022-4790

issn

1096-9098

pii

10.1002/1096-9098(200005)74:1<49::AID-JSO12>3.0.CO

journal_volume

74

pub_type

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