[Clinical and urodynamic results after various ileum neobladder procedures].
Urinary diversion after cystectomy in 15 male patients suffering from advanced transitional cell carcinoma of the bladder (pT-pT3b) was performed by ileal neobladder in different ways: S type n = 5, U type n = 3, J type n = 3 and W type n = 4. The perioperative mortality was nil, the overall complication rate 60%. The patients were followed up by means of regular urodynamic controls after 3, 6 and 12 months. After a median follow up period of 18 months (12-29) the J type and W type seem to be superior with regard to postoperative continence. All patients with W type neobladder are continent. The capacity of the neobladders varies from 200 to 800 ml; the W pouches have the highest capacity.
Urologische Abteilung, Wilhelminenspitals, Wien.
J
J
Flamm
H
H
Kiesswetter
H
H
Umek
M
M
Fischer
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000503:physiopathology / Q000601:surgery*; D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology; D001749:Urinary Bladder Neoplasms / Q000503:physiopathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014563:Urodynamics / Q000502:physiology*; D014567:Urography
Klinische und urodynamische Ergebnisse nach unterschiedlicher Ileum-Neoblase.