title: [Orthotopic ileal neobladder: urodynamic and metabolic aspects. Our experience].
abstract: We subjected to a functional and metabolic evaluation (urodynamic examination + cystography) 10 patients underwent to radical cystectomy with a ileal orthotopic reservoir (VIP) for bladder cancer. At the moment patients have a minimum 3-years follow-up and they are out of disease. The medium capacity of the reservoir is about 447 ml, with a low pressure flow, a medium pressure of ureteral closing of 62.5 cm of H2O. At the cystography neither ureteral reflux nor post miction residuum have been proved. All the patients are continent, with the exception of one patient suffering from episodes of nocturnal enuresis. The metabolic evaluation hasn't proved substantial changes except the presence of hypocitraturia in the only patient in metabolic acidosis. In conclusion the ileal orthotopic reservoir showed a good long-term functionality without considerable complication of metabolism.
authors.affiliation: Istituto di Urologia, I.R.C.C.S. Ospedale Maggiore di Milan.
authors.forename: B
authors.initials: B
authors.lastname: Mangiarotti
authors.forename: A
authors.initials: A
authors.lastname: Ceresoli
authors.forename: A
authors.initials: A
authors.lastname: Del Nero
authors.forename: M
authors.initials: M
authors.lastname: Parravicini
authors.forename: G
authors.initials: G
authors.lastname: Prati
authors.forename: A
authors.initials: A
authors.lastname: Currò
authors.forename: G P
authors.initials: GP
authors.lastname: Zanetti
authors.forename: A
authors.initials: A
authors.lastname: Trinchieri
authors.forename: E
authors.initials: E
authors.lastname: Pisani
mesh_terms: D000138:Acidosis / Q000209:etiology; D000368:Aged; D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics