An ileal neobladder for a female patient after a radical cystectomy to ensure voiding from the urethra: a case report.
An ileal neobladder construction realizing normal micturition was successfully performed after a total cystectomy, with preservation of the urethra, for a 69-year-old female patient with invasive bladder cancer. Approximately 60 cm of terminal ileum was selected, detubularized and re-sutured to create an oval-shaped intestinal pouch to which the bilateral ureters were anastomosed. The bottom of the pouch was anastomosed to the urethral remnant. Three months after surgery, the patient achieved daytime continence, and now enjoys almost the same lifestyle as before. This is the first case of successful neobladder construction to be precisely reported for a female patient. For normal micturition, the ileal neobladder will be one of the possible choices for urinary diversion in not only selected male, but also female, patients.
Tobisu
K
K
Urology Division, National Cancer Center Hospital, Tokyo.
Coloby
P J
PJ
Fujimoto
H
H
Mizutani
T
T
Kakizoe
T
T
D000368:Aged; D000714:Anastomosis, Surgical; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D013536:Suture Techniques; D014521:Urethra / Q000502:physiology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014554:Urination / Q000502:physiology*