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New Technique of Orthotopic Ileal Neobladder: Early Experience / 대한비뇨기과학회지
Korean Journal of Urology ; : 876-881, 2003.
Artículo en Coreano | WPRIM | ID: wpr-68262
ABSTRACT

PURPOSE:

During the last 10 years, a multitude of different ileal neobladders have been reported. The ureterointestinal anastomotic site stricture has been shown to be one of the most common late complications. To avoid the stricture, a new orthotopic ileal neobladder was constructed, with two chimneys and two afferent ileal limbs beside the reservoir. MATERIALS AND

METHODS:

Twenty-six men, with invasive bladder cancer, underwent a radical cystectomy, with the creation of a two chimney ileal neobladder. The mean follow-up was 18 months. The complications were assessed and divided into those related or unrelated to the urinary tract. The continence was evaluated using patient questionnaires.

RESULTS:

There was no case of an ureteroileal anastomotic site stricture. Five cases of vesicoureteral reflux were noted in the 52 ureteral units. Good, or satisfactory, day- and nighttime urinary continence was reported at the 6 month follow-up by 92.3 and 69.2% of patients, respectively.

CONCLUSIONS:

The ileal neobladder with two chimneys would be an appropriate technique for the reduction of the ureteroileal anastomotic stricture rate and to overcome some of limitations of the ureteral length.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Uréter / Derivación Urinaria / Sistema Urinario / Reflujo Vesicoureteral / Neoplasias de la Vejiga Urinaria / Cistectomía / Encuestas y Cuestionarios / Estudios de Seguimiento / Constricción Patológica / Extremidades Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Urology Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Uréter / Derivación Urinaria / Sistema Urinario / Reflujo Vesicoureteral / Neoplasias de la Vejiga Urinaria / Cistectomía / Encuestas y Cuestionarios / Estudios de Seguimiento / Constricción Patológica / Extremidades Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Urology Año: 2003 Tipo del documento: Artículo