Detubularized rectosigmoid neobladder in women after cystectomy for bladder cancer.
OBJECTIVE
We present the long-term functional results of a new technique for bladder substitution after cystectomy for bladder cancer in women.


METHODS
Between 1991 and 1995, 10 women underwent radical cystectomy for bladder cancer with a new technique. We created a detubularized rectosigmoid neobladder associated with either a terminal colostomy or intrasphincteric perineal colostomy section (Heitz-Boyer-Hovelacque). We evaluated neobladder functioning over almost 5 years by means of urodynamic studies, ultrasound scans, urograms and pouchgrams, and renal function tests.


RESULTS
Neobladder function was excellent in all patients, with good diurnal and nocturnal urinary continence, voiding patterns, and preservation of the upper urinary tract.


CONCLUSIONS
This new technique, which is a modification of the standard rectal or rectosigmoid neobladder technique, is a valid alternative to the ortothopic neobladder in women, with good functional results.
Mearini
E
E
Department of Urology, University of Perugia, Italy.
Mearini
L
L
Zucchi
A
A
Costantini
E
E
Goracci
G
G
Porena
M
M
D012809:Colon, Sigmoid / Q000601:surgery; D015653:Cystectomy; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures; D012007:Rectum / Q000601:surgery; D013536:Suture Techniques; D001749:Urinary Bladder Neoplasms / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods / Q000534:rehabilitation*; D014563:Urodynamics