Neobladder “Belgrade pouch”: Metabolic consideration | Zendy

Vladimir Bančević | Zendy; Predrag Aleksić | Zendy; Dušica Stamenković | Zendy; T. Pejcic | Zendy; Novak Milović | Zendy; Božidar Kovačević | Zendy; Snežana Cerović | Zendy

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Neobladder “Belgrade pouch”: Metabolic consideration

Author(s) -

Vladimir Bančević,

Predrag Aleksić,

Dušica Stamenković,

T. Pejcic,

Novak Milović,

Božidar Kovačević,

Snežana Cerović

Publication year - 2016

Publication title -

vojnosanitetski pregled

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.123

H-Index - 19

eISSN - 2406-0720

pISSN - 0042-8450

DOI - 10.2298/vsp150113064b

Subject(s) - cystectomy , pouch , medicine , urinary diversion , metabolic acidosis , ileum , urology , urinary system , acidosis , resorption , base excess , surgery , bladder cancer , cancer

The ileal neobladder should be a lowpressure reservoir with acceptable volume and relatively small resorptive surface. A larger inner surface of the ileal pouch is associated with the high resorption of urine metabolites through intestinal mucosa and systemic metabolic disturbances, while a too small pouch results in a higher frequency of voiding and incontinency. The aim of this study was to investigate it is possible to create a neobladder from a shorter ileal segment compared to standard surgical techniques, and reduce metabolic complications.

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