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The impact of a modified ileal neobladder on the lifestyle and voiding patterns in Asian patients
Author(s) -
Myeong Soo Lee,
Qing Li,
Wood-Hi Cheng,
Foo
Publication year - 1998
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1998.00586.x
Subject(s) - medicine , cystectomy , urinary continence , erectile function , erectile dysfunction , neck of urinary bladder , international prostate symptom score , surgery , quality of life (healthcare) , urology , urinary bladder , prostatectomy , lower urinary tract symptoms , prostate , bladder cancer , nursing , cancer
Objective To evaluate the impact of the modified ileal neobladder reconstruction on lifestyle, voiding habits and functional outcome in Asian patients. Patients and methods Twenty‐seven Asian patients (25 men and two women, mean age 59 years, range 41–76) underwent modified ileal neobladder reconstruction after radical cystectomy for carcinoma of the bladder. The mean (range) follow‐up was 21 (3–75) months. All patients were evaluated retrospectively using case notes, reviews, interviews and voiding charts; 18 patients underwent urodynamic studies. Result Twenty‐five patients (93%) achieved diurnal and 23 (85%) nocturnal continence within 6 months. Of the 19 patients who were in employment before surgery, 15 continued to be economically active afterward; 26 patients (96%) reported no change in their daily living activities. Of 16 men who reported being potent pre‐operatively only four retained some residual erectile function. Twenty‐three patients were interviewed about their voiding habits and satisfaction with the outcome of surgery. Fourteen patients had no sensation of reservoir fullness and of the 21 men, 13 had to squat or sit to void effectively. The mean (range) voiding frequency was 5 (4–8) during the day and 2 (0–4) during sleep. Twenty‐two patients were satisfied with the overall outcome. Conclusions The modified ileal bladder provides a high urinary continence rate with minimal changes in daily living activities and occupational status. The functional outcome was very satisfactory and accepted well, despite some changes in reservoir sensation, voiding posture and erectile function. The method is a viable option for reconstruction after cystectomy in Asian patients.