Long-term outcome of female orthotopic ileal neobladder
- VernacularTitle:女性可控性回肠膀胱术的远期疗效分析
- Author:
Rongxiang ZHOU
;
Zongliang ZHANG
;
Monong LI
;
Haiyan QI
;
Yanlun ZHANG
;
Rongchen YANG
;
Shuai WU
;
Yan ZHANG
;
Gang ZHANG
;
Boquan YAN
- Publication Type:Journal Article
- Keywords:
Bladder neoplasms;
Urinary diversion;
Female
- From:
Chinese Journal of Urology
2008;29(12):818-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application of female orthotopic ileal neobladder.Methods Modified radical cysteetomy plus orthotopic ileal neobladder was performed on 19 female pa-tients with bladder cancer from June 1999 to January 2008.The mean age of the patients was 52(45-66) years,mean course of disease was 4.4 months (16 days-1.9 years).Of all the patients,there were 10 cases with grade 1,7 cases with grade 2 and 2 cases grade 3.According to the UICC stage system,5 patients were T1 stage,12 T2 and 2 T3a.All the patients received modified radical cystecto-my without resection of uterus and anterior vagina,meanwhile the nerves around urethra were protec-ted.0.8-1.2 cm proximal end of the urethra was excised and 30 cm distal ileum was used for the re-construction of the neobladder.Results Sixteen cases were followed up for 6-102 months,mean 71 months.Fifteen patients survived without disease recurrence,1 patient died of myocardial infarc-tion 17 months postoperation.The daytime and night continent rate was 100$,93% at 9 months postoperative.The average voiding volume of the 15 patients was 519.0 ml.The average residual vol-ume was 29.2 ml,and Qmax was 18.6 ml/s.The average filling and voiding pressure was 16.7 cm H2O and 53.0 cm H2O.Intravenous urography showed slight hydronephrosis in 1 case.Conclusion Female orthotopic ileal neobladder could be a good choice because of the continence,fewer complica-tions,lower pressure and enough bladder capacity.
