comparative study of ileal loop conduit and rectosigmoid bladder as methods of urine diversion after radical cystectomy for bilharzial cancer bladder

ABSTRACT

A prospective study including 177 patients with T[2] and T[3] bilharzial cancer bladder for whom radical cystectomy was done, followed by rectal bladder for 115 patients and ileal loop conduit for 62 patients. Per-operative blood loss averaged 1500 cc in rectal bladder and 1800 c.c. in ileal loop conduit. Post-operative morbidity and mortality were higher after ileal loop conduit than after a rectal bladder diversion. The renal function studies showed no superiority of one method over the other. But evaluation of the bladder substitute showed that the rectal bladder was mere suitable for our patients as it acted as a reservoir which can hold up to 700 c.c. of urine with a frequency of evacuation every 4-6 hours and diurnal and nocturnal continence in 24% of cases, diurnal continence in 66%, and incontinence in the remaining. 10% of cases