[Rectal neobladder. A 25-year experience].
On the experience of 153 cases of rectal bladder after cystectomy for cancer, the indications, technique and results of this operations are reported. Earlier, it was a method of choice as a bladder substitute. Today the indication is limited to female cysto-urethrectomy. Technique consists in rectum isolation and ureterorectal antireflux anastomosis; the sigmoid colon is pulled through behind rectum and between outer and inner layer of anal sphincter fixed on the perineum. The overall postoperative mortality is 7.8%, but in the last 5 years there was no mortality. The most frequent complications are sigmoid retraction and its partial necrosis. Micturition mostly is under control, but 14% of patients have a relative defecation incontinence.
Novak
R
R
Clinique urologique de l'Hôpital OR M. Stojanovié, Zagreb, Yougoslavie.
Kraus
D
D
D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012007:Rectum / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*
La néo-vessie rectale. Une expérience de vingt-cinq années.