[Nerve-sparing cystectomy and ileal bladder substitution].
Nerve-sparing techniques and bladder substitution following radical cystectomy allow today to obviate functional sequelae once registered in this type of surgery. Intraoperative identification of the pelvic plexus, which provides autonomic innervation to the corpora cavernosa, is necessary to preserve sexual function. Ileal orthotopic bladder substitution with preservation of the distal urethral sphincter assures a micturition per urethram and the urinary continence. The Authors report their experience with the Studer and Zingg procedure (ileal orthotopic bladder reservoir) performed in 26 cases. Results, technique, complications, and long-term evaluation are stressed.
Cancrini
A
A
Divisione di Urologia Oncologica, Istituto Regina Elena per lo Studio e la Cura dei Tumori, Roma.
Marcellini
M
M
De Carli
P
P
Pompeo
V
V
Fattahi
H
H
Cantiani
R
R
Mainiero
G
G
Cusumano
G
G
Ciammarughi
B M
BM
D000368:Aged; D015653:Cystectomy; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000294:innervation; D013997:Time Factors; D014547:Urinary Diversion
Cistectomia nerve-sparing e neovescica ileale di sostituzione.