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THE COLONIC NEOBLADDER: A STOMA‐FREE BLADDER SUBSTITUTE AFTER RADICAL CYSTECTOMY ‐ PRELIMINARY RESULTS IN SIX PATIENTS
Author(s) -
Shimizu Toshihiro S.,
Jimbo Hiroyuki,
Satoh Jin,
Fukuda Takahiro,
Suzuki Takanori
Publication year - 1994
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1994.tb00042.x
Subject(s) - medicine , pouch , cystectomy , stoma (medicine) , cecum , urinary diversion , ascending colon , urology , ileum , transverse colon , ureterostomy , cystoprostatectomy , surgery , bladder cancer , cancer
We have used a urethral colonic pouch for total bladder replacement in 6 bladder cancer patients after radical cystectomy. The distal ileum, cecum, ascending colon and the right third of the transverse colon were isolated. The cecum and colon were opened along the tenia and a detubulized pouch was created. The ureters were sutured to the terminal ileum. The maximum pressure wave measured ranged–58 cmH 2 O, and the amount of residual urine varied between 0 and 58 ml. All patients were completely continent during the day and slight incontinence at night was observed in 3. By amputating the right colonic artery, the pouch is easily moved to the urethral stump and serves as a low pressure neobladder after cystoprostatectomy.