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Orthotopic ileal neobladder
Author(s) -
Studer U.E.,
Varol C.,
Danuser H.
Publication year - 2004
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2004.04641.x
Subject(s) - medicine , citation , library science , urology , computer science
There are certain contraindications to constructing a bladder substitute. These are similar to those for a radical cystectomy indicated in bladder cancer, in that the exclusion of bone, lung and lymph node metastases, and establishment of operability, are essential. The presence of any major liver, renal or bowel insufficiency, or incontinence caused by urethral rhabdosphincter insufficiency necessitate using an alternative urinary diversion. In cases of bladder cancer, the concomitant presence of urethral cancer or preoperative paracollicular biopsies showing tumour at the future anastomotic margin are a definitive contraindication.