title: Ileal orthotopic bladder substitutes. What we have learned from 12 years' experience with 200 patients.
abstract: 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.
authors.affiliation: Department of Urology, University of Berne, Inselspital, Switzerland.
authors.forename: U E
authors.initials: UE
authors.lastname: Studer
authors.forename: E J
authors.initials: EJ
authors.lastname: Zingg
mesh_terms: 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