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Neobladder after Cystectomy: An Indian Experience
Author(s) -
KAMAT M. R.,
KULKARNI J. N.,
TONGAONKAR H. B.
Publication year - 1993
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 - 10.1111/j.1464-410x.1993.tb16069.x
Subject(s) - cystectomy , medicine , anastomosis , urinary diversion , urethra , surgery , fistula , cuff , bladder cancer , urology , cancer
Summary— A continent urinary reservoir was constructed from an ileocolonic segment and anastomosed to the urethra in 30 males after radical cystectomy for infiltrating bladder cancer. A small cuff of the prostate was retained for anastomosis with the reservoir and ureteric anastomosis was done from within the reservoir by the “pull through” method. Complete continence was achieved in 29 patients, all of whom had an adequate reservoir capacity exceeding 400 ml; they were able to empty the reservoirs satisfactorily as judged by the residual urine (<50 ml). Urodynamic study revealed an intra‐abdominal pressure <30 cm of water at rest and at reservoir capacity of 500 ml. Early post‐operative complications included urinary leaks in 3 patients, intestinal obstruction in 3 and a faecal fistula in 1. Deterioration of the upper tracts was noted in 5 cases. Twenty‐seven patients are alive after a mean follow‐up of 36 months.