Right colocystoplasty for bladder replacement.
Total bladder replacement by an ileoascending colonic segment with adjunctive use of intermittent self-catheterization and secondary insertion of an artificial sphincter has been selectively employed in a group of male patients undergoing cystectomy for localized invasive bladder cancer and disabling interstitial cystitis. This bowel segment offers a capacious reservoir, an effective antireflux barrier, and a consistent tension-free colourethral or coloprostatic anastomosis. Mucous plug catheter obstruction is rarely a problem in this reservoir during the early postoperative course.
D003106:Colon / Q000601:surgery*; D003556:Cystitis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008991:Monitoring, Physiologic; D012648:Self Care; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014546:Urinary Catheterization / Q000379:methods; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000601:surgery