Causes and Treatment of Residual Urine Volume after Orthotopic Bladder Replacement in Women
| Autor: | O. Naňka, Marek Babjuk, Milos Grim, Miroslav Tichý, Janský M, Tomáš Hanuš, Ladislav Jarolím, S. Pecher |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty Urology medicine.medical_treatment Urine Urinary Diversion Cystectomy urologic and male genital diseases Urethra Urethrectomy medicine Humans Aged Bladder cancer Urinary bladder urogenital system business.industry Urinary Reservoirs Continent Urinary diversion Middle Aged medicine.disease Residual urine volume Surgery Urodynamics medicine.anatomical_structure Urinary Bladder Neoplasms Bladder replacement Urologic Surgical Procedures Female business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1421-993X 0302-2838 |
| DOI: | 10.1159/000020373 |
| Popis: | Intact innervation of the female urethra is conditional for normal urination. In the past, urethrectomy was performed as part of cystectomy. After intense anatomical studies of the female pelvis, urethral-function-sparing cystectomy was developed.Our clinical group consists of 41 female patients who were operated from 1993 to 1998 for bladder cancer, utilizing cystectomy with orthotopic bladder replacement.In 28 patients, complete daytime continence was restored and in 13 patients, daytime continence was socially satisfactory (1-2 pads were used due to mild stress incontinence). The drawback of orthotopic replacements in females is the frequent development of serious residual volume, which was seen in one third of the 41 patients. The functional results of orthotopic neobladders and therapy of residual urine volume were documented using urodynamic studies.Postvoiding residual volume may be caused by isolated dysfunction of the urethra and can be treated with clean intermittent self-catheterization or with alpha-blockers, which improve evacuation of the neobladder. |
| Databáze: | OpenAIRE |
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