title: [Orthotopic reconstruction in the female, with Kock's ileal neobladder (updated experience in 34 patients)].
abstract: At USC around 90% of female patients undergoing cystectomy have become potential candidates for lower urinary tract reconstruction. There are two important criteria when considering the procedure: the continence mechanism must be preserved (by preserving pudendal innervation) and the cancer surgery should not be compromised by the reconstructive procedure. The reconstruction has a similar appearance and function to the original bladder and does away with the need for a cutaneous stoma, providing a normal micturition pattern and improving the patient's quality of life and self-image. Excellent results have so far been obtained with 34 patients, 85% of whom have achieved continence and the ability to void to conclusion.
authors.affiliation: Dipartimento di Urologia, Scuola di Medicina, University of Southern California (USC), USA.
authors.forename: J
authors.initials: J
authors.lastname: Stein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002278:Carcinoma in Situ / Q000473:pathology / Q000601:surgery; D015653:Cystectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D014521:Urethra / Q000294:innervation; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*