Technical refinements and clinical application of Studer neobladder
- VernacularTitle:Studer回肠代膀胱术的技术改进和临床应用
- Author:
Min YE
- Publication Type:Journal Article
- Keywords:
Bladder neoplasms;
Urinary diversion
- From:
Chinese Journal of Urology
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of modified Studer ileal neobladder. Methods Technical refinements on Studer ileal neobladder have been divised and applied to 35 patients of which 31 with multiple or invasive transitional cell carcinoma of bladder,2 advanced stage of neurogenic bladder and 2 extensive polypoid cystitis glandularis.All patients were male,with an average age of 61 years. Results Mean operative time was 6.5 hours (range 5.5～8.5 hours),mean intraoperative blood loss was 650 ml(range 300～1 200 ml),and transfusion was needed in 21 case.Perioperative complications included stress ulcer in 6,ARDS in 1.Follow-up ranged from 3 to 38 month.All the patients voided without difficulty,only 5 patients had small amount of residual urine (40～60 ml).The day time urinary continent rates at 3 months and 6 months postoperatively day time were 91% and 100% and the night time 87% and 96%,respectively.The upper urinary tract function was excellent.Mean capacity of the ileal neobladder was 410 ml,maximal filling pressure 21.4 cmH 2O,and Qmax 16.8 ml/s in 6 months postoperatively. Conclusions Modified Studer ileal neobladder has advantages of technically simple,lower complication rate,shorter recovery time and similar to physiological voiding.It is recommended to be widely used in selective candidates.
