New Technique of Orthotopic Ileal Neobladder: Early Experience.
- Author:
Joo Yeol CHEONG
1
;
Ki Yeul CHOI
;
Han Jong AHN
Author Information
1. Department of Urology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. urochoi@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Cystectomy;
Urinary diversion;
Complications
- MeSH:
Constriction, Pathologic;
Cystectomy;
Extremities;
Follow-Up Studies;
Humans;
Male;
Surveys and Questionnaires;
Ureter;
Urinary Bladder Neoplasms;
Urinary Diversion;
Urinary Tract;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
2003;44(9):876-881
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: During the last 10 years, a multitude of different ileal neobladders have been reported. The ureterointestinal anastomotic site stricture has been shown to be one of the most common late complications. To avoid the stricture, a new orthotopic ileal neobladder was constructed, with two chimneys and two afferent ileal limbs beside the reservoir. MATERIALS AND METHODS: Twenty-six men, with invasive bladder cancer, underwent a radical cystectomy, with the creation of a two chimney ileal neobladder. The mean follow-up was 18 months. The complications were assessed and divided into those related or unrelated to the urinary tract. The continence was evaluated using patient questionnaires. RESULTS: There was no case of an ureteroileal anastomotic site stricture. Five cases of vesicoureteral reflux were noted in the 52 ureteral units. Good, or satisfactory, day- and nighttime urinary continence was reported at the 6 month follow-up by 92.3 and 69.2% of patients, respectively. CONCLUSIONS: The ileal neobladder with two chimneys would be an appropriate technique for the reduction of the ureteroileal anastomotic stricture rate and to overcome some of limitations of the ureteral length.
