[Sigmoidal orthotopic neobladder].
At present the selection criteria for eligibility to radical cystectomy and substitution neobladder remain at our Institute still restricted. Performance Status and clinical stage of the disease are certainly of crucial importance for our surgical decision making. Moreover, recently some patients affected from superficial transitional recurrent and multifocal bladder tumours are, at our Institute validly treated by intravesical administration of combined chemotherapy and hyperthermia. Our technical procedure is similar to that described by Reddy with some interesting personal modifications. Sigmoid orthotopic neobladder still represent, in our experience a reliable and safe therapeutic procedure due to limited early and delayed complications. Among most important features of this procedure are the preservation of a quite physiological urinary stimulus and the absence of the residual urinary volume.
Rigatti
P
P
Divisione di Urologia, Istituto Scientifico H. San Raffaele, Milano.
D012809:Colon, Sigmoid / Q000601:surgery; D015653:Cystectomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D018579:Patient Selection; D011183:Postoperative Complications; D014547:Urinary Diversion / Q000379:methods*