Voiding Pattern and Incontinence after Orthotopic Ileal Neobladder in Male Patients / 대한비뇨기과학회지
Korean Journal of Urology
;
: 12-17, 2007.
Article
in Korean
| WPRIM
| ID: wpr-50755
ABSTRACT
PURPOSE:
To report the voiding pattern and continence stati in male patients having undergone a radical cystectomy and orthotopic bladder substitution. MATERIALS AND MATHODS Between March 2000 and June 2005, 20 men with advanced bladder cancer had a radical cystoprostatectomy and urinary diversion via an ileal orthotopic bladder substitution. The voiding pattern and continence stati were assessed using patient interviews, frequency- volume charts and pad tests at 1, 3, 6, 9 and 12 months after catheter removal.RESULTS:
The mean age and follow-up were 60.5 years (41-72) and 34.1 months (12-69), respectively. Neobladder substitution was performed with an ileum in all patients. 17 patients had reconstruction with a Studer neobladder and 3 with a W-pouch Hautmann. All patients had transitional cell carcinoma (TCC) and their tumor stages ranged from T1G3 to T4aN1M0. The frequency of voiding ranged from 4 to 12 times during the day, and 0 to 5 times during the night, with a mean maximum neobladder capacity of 336ml (200-620) and maximum flow rate of 24.6ml/sec (12-46) 12 months after removal of the catheter. No patient required intermittent self-catheterization. All-time continence rates were 15, 30, 65 and 85%, and all-time incontinence rates were 55, 25, 10 and 5% at 1, 3, 6 and 9 months after catheter removal, respectively.CONCLUSIONS:
Orthotopic bladder substitution has an excellent functional outcome over time, resulting in high daytime and nighttime continence rates within 9 months of catheter removal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urinary Diversion
/
Urinary Bladder
/
Urinary Bladder Neoplasms
/
Carcinoma, Transitional Cell
/
Cystectomy
/
Follow-Up Studies
/
Colonic Pouches
/
Catheters
/
Ileum
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2007
Type:
Article
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