Ileal orthotopic bladder substitutes. What we have learned from 12 years' experience with 200 patients.
The perfect bladder substitute has not been devised yet. The ileal orthotopic bladder substitute, however, provides adequate capacity, convenient voiding patterns, optimal continence rate, preservation of renal function, acid-base balance, and calcium metabolism. The authors describe important surgical details based on experience with more than 200 patients. To achieve a good functional result, patient selection, postoperative voiding reeducation, and meticulous follow-up are important.
Studer
U E
UE
Department of Urology, University of Berne, Inselspital, Switzerland.
Zingg
E J
EJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000378:metabolism; D013997:Time Factors; D014523:Urethral Neoplasms / Q000453:epidemiology; D001743:Urinary Bladder / Q000601:surgery; D016476:Urinary Reservoirs, Continent