Technique of the continent ileal bladder: Camey procedure.
The Camey procedure requires careful selection of patients and meticulous attention to surgical technique during the cystoprostatectomy and reservoir construction. Nevertheless, the surgery is not unusually difficult, and the degree of bowel manipulation is considerably less than in other forms of continent urinary reservoirs. The clinical results to date have been published in detail and are very satisfactory overall. Night-time incontinence is the most significant drawback of the Camey procedure. We present this limitation to all candidates as a trade-off for voiding by the urethra versus having an abdominal stoma that requires intermittent catheterization in other forms of continent diversion. The Camey ileal bladder represents a substantive addition in the ongoing search for an ideal bladder substitute.
D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000209:etiology