title: [Experimental and clinical results with the ileum pouch as a continence-preserving replacement bladder].
abstract: Clinical use of the ileum-pouch for bladder reconstruction without stoma and direct anastomosis to the urethra is mandatorily based upon the three following conditions: sufficient capacity, low pressure values and protection of reflux in the neobladder. In an experimental study, we constructed a U-pouch with anastomosis to the urethra and implantation of both ureters into a cranial ileum horn. Already six weeks postoperatively an optimal capacity and real low pressure conditions of the neobladder have been achieved. Without any ileoileal invagination as antirefluxive procedure simple ureter-nippling provides a highly efficient protection against renal reflux in the so constructed neobladder. Our first clinical results do confirm our experimental data, demonstrating no reflux and almost total continence.
authors: Abteilung Allgemein- und Thoraxchirurgie, Justus-Liebig-Universität Giessen.
authors: K W
authors: KW
authors: Henneking
authors: W
authors: W
authors: Weidner
authors: S S
authors: SS
authors: Ali
authors: C F
authors: CF
authors: Rothauge
authors: K
authors: K
authors: Schwemmle
mesh_terms: D000818:Animals; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008855:Microscopy, Electron, Scanning; D011183:Postoperative Complications / Q000473:pathology; D013552:Swine; D013556:Swine, Miniature; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*
vernacular_title: Experimentelle und klinische Ergebnisse mit dem Ileum-Pouch als kontinenzerhaltende Ersatzblase.