Optimization of orthotopic colonic bladder: implantation of tubularized mucosal flap from colonic segment into demucosalized urethra.
If the urethral mucosa of a female could be replaced by another mucosa, one could augment the indication for orthotopic reconstruction of the bladder. A mucosal replacement technique for the female urethra is reported. A colonic mucosal flap formed from a colonic bladder was used in a patient with bladder cancer for whom cystectomy was indicated. For 3 years after the surgery, the patient has maintained satisfactory voiding and urethral function. There has been no evidence of a recurrence. The orthotopic bladder with the mucosal replacement technique can be applied to female patients who have a bladder cancer with a high risk of urethral recurrence.
Iizuka
K
K
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Igawa
Y
Y
Kato
H
H
Kiyokawa
H
H
Nishizawa
O
O
D000328:Adult; D003106:Colon / Q000637:transplantation*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D016476:Urinary Reservoirs, Continent