The long-term outcome of Studer neobladder and associated complications.
- Author:
Xiao-dong ZHANG
1
;
Hang YIN
;
Ning ZHANG
;
Yong ZHANG
;
Yong YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Cystectomy; Female; Follow-Up Studies; Humans; Ileum; surgery; Male; Middle Aged; Postoperative Complications; Urinary Bladder Neoplasms; surgery; Urinary Diversion; methods; Urinary Incontinence; etiology; Urinary Reservoirs, Continent; physiology; Urination; Urodynamics
- From: Chinese Journal of Surgery 2008;46(20):1535-1538
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the long-term outcome and related complications in a group of patients underwent Studer neobladder surgery.
METHODSFrom may 2005 to Jan 2008, 25 patients with invasive bladder tumor underwent Studer procedure. Among of them, 20 patients were followed up from 6 to 44 months. Functional bladder capacity, residual urine, peak flow rate and incontinence in 3, 12, 24, 36 months following neobladder were evaluated. Surgical associated complications, death rate were included as well.
RESULTSThere was no significant difference in functional bladder capacity, peak flow rate after the procedure (P > 0.05), but there was significant difference in residual urine (36 ml vs 80 ml, P < 0.01). Hydronephrosis, renal atrophy, urinary infection and hematuria were major complications encountered in this study.
CONCLUSIONSThe procedure is safe, and satisfied urinary function is kept in the neobladder. The long-term outcome will be improved with accumulated experiences.