Bladder replacement by detubularized ileal loop

Autor:	Alessandro D'Addessi, A. Alcini, P. Menchinelli, F. Grassetti, Marco Racioppi, E. Alcini
Rok vydání:	1996
Předmět:	medicine.medical_specialty Urinary bladder Bladder cancer business.industry Urology media_common.quotation_subject Ileum medicine.disease Urination Ileal Loop Surgery medicine.anatomical_structure Bladder replacement Medicine business Mesentery Pelvis media_common
Zdroj:	BJU International. 77:688-695
ISSN:	1464-410X 1464-4096
DOI:	10.1046/j.1464-410x.1996.97912.x
Popis:	Objective To evaluate the results obtained with a technique of bladder replacement using a detubularized ileal tract, developed by the authors. Patients and methods Since 1983, 34 patients have undergone an orthotopic bladder replacement using 35–40 cm of ileum, detubularized and shaped into an ‘S’ to create a neobladder with a capacity of 100–120 mL. The ureters were anastomosed directly to a 10 cm long intact afferent loop which serves as an anti-reflux mechanism, while a 2 cm long efferent, spatulated loop was used for urethral anastomosis. The mean (sd) follow-up was 32 (33) months. Results All the patients were continent during the day, with socially convenient intervals between voids; 3 years after the operation, 10 of 12 patients were continent during the night, with intervals of 2–4 h between voids. The mean post-void residual urine volume was 41 mL and no patient required self-catheterization. There were no derangements of the metabolic status of patients. Conclusion This technique was applied knowing that a detubularized intestinal loop has the remarkable ability to increase in capacity over time. Therefore, to maintain the reservoir in good condition over a long period it is important to construct it with an intra-operative capacity of
Databáze:	OpenAIRE
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