Ileal neobladder.

ABSTRACT

Twenty-five male patients undergoing cystoprostatectomy and ileal neobladder for muscle-invasive transitional cell carcinoma of bladder are reported lleum segments of 60-80 cm. long were detubularized and reconfigurated to produce low pressure, high compliant neobladder. There was no operative mortality. Two patients were lost to follow up. Follow up period ranged from 1 to 54 months with mean 24 months. Nineteen patients were still alive. There were 4 patients died from metastasis or local recurrence. AII patients could void per urethra except one. Enuresis was found in 5 and daytime incontinence In 2 Vesicoureteral reflux was observed in 3 renal units. No electrolytes disturbances occurred. Ileal neobladder offers an alternative to standard ileal conduit and more acceptable to male patients undergoing cystoprostatectomy.