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Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder
Quispe, Cinthia Alcántara; Machado, Roberto Dias; Magnabosco, Wesley Justino; Santos, Alexandre Cesar; Faria, Eliney Ferreira.
  • Quispe, Cinthia Alcántara; Hospital do Câncer de Barretos. Departamento de Urologia. Barretos. BR
  • Machado, Roberto Dias; Hospital do Câncer de Barretos. Departamento de Urologia. Barretos. BR
  • Magnabosco, Wesley Justino; Hospital do Câncer de Barretos. Departamento de Urologia. Barretos. BR
  • Santos, Alexandre Cesar; Hospital do Câncer de Barretos. Departamento de Urologia. Barretos. BR
  • Faria, Eliney Ferreira; Hospital do Câncer de Barretos. Departamento de Urologia. Barretos. BR
Int. braz. j. urol ; 44(5): 1036-1041, Sept.-Oct. 2018. graf
Article in English | LILACS | ID: biblio-975641
ABSTRACT
ABSTRACT Standard radical cystectomy (RC) in women involves removal of the distal ureters, bladder, proximal urethra, uterus, ovaries, and adjacent vagina. Furthermore, pelvic organ-preserving RC to treat selected women has become an accepted technique and may confer better postoperative sexual and urinary functions than standard RC, avoiding complications such as incontinence, prolapse, neobladder-vaginal fistula (NVF), and sexual dysfunction, without compromising oncological outcome. This article reports a different surgical

approach:

a patient who underwent a cutaneous continent reservoir and neovagina construction using a previous ileal orthotopic neobladder after RC. Patient presented no complications and she has no evidence of recurrent disease and is sexually active, with a satisfactory continent reservoir. This case is the first report of this procedure that was able to treat concomitant dyspareunia caused by short vagina and neobladder-vaginal fistula. In conclusion, standard radical cystectomy with no vaginal preservation can have a negative impact on quality of life. In the present case, we successfully treated neobladder fistula and short vagina by transforming a previous ileal orthotopic neobladder into two parts a continent reservoir and a neovagina. However, to establish the best approach in such patients, more cases with long-term follow-up are needed.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Vagina / Cystectomy / Vaginal Fistula / Urinary Reservoirs, Continent Type of study: Etiology study Limits: Adult / Female / Humans Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital do Câncer de Barretos/BR

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Full text: Available Index: LILACS (Americas) Main subject: Vagina / Cystectomy / Vaginal Fistula / Urinary Reservoirs, Continent Type of study: Etiology study Limits: Adult / Female / Humans Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital do Câncer de Barretos/BR