Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder
Int. braz. j. urol
; 44(5): 1036-1041, Sept.-Oct. 2018. graf
Article
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| ID: biblio-975641
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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.Palabras clave
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LILACS
Asunto principal:
Vagina
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Cistectomía
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Fístula Vaginal
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Reservorios Urinarios Continentes
Tipo de estudio:
Etiology_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Int Braz J Urol
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Int. braz j urol (Online)
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Int. braz. j. urol
/
International braz j urol (Impresso)
/
International brazilian journal of urology
Asunto de la revista:
UROLOGIA
Año:
2018
Tipo del documento:
Article