Modified Ghoneim's technique using a single serous-lined extramural tunnel in detubularized orthotopic ileal W-bladder.
OBJECTIVE
We report our preliminary clinical experience with a modification of Ghoneim's original technique involving reimplantation of ureters in a single tunnel on the right part of the neobladder forming a 'W' shape.


METHODS
From 1997 to 1999, we performed radical cystectomy with double 'W' orthotopic neobladder construction and uretero-ileal reimplantation using our modified Ghoneim's technique on 11 male patients, aged 40-74 (mean 65.5) years, affected by invasive bladder cancer.


RESULTS
No postoperative complications were observed. After a mean follow-up of 12.5 months all patients are free of recurrences.


CONCLUSIONS
In our hands the modified Ghoneim's technique seems to reduce the mean operating time required to tailor the uretero-ileal anastomosis and guarantee greater stability of the anastomosis itself.
Siracusano
S
S
Department of Urology, University of Trieste, Italy. Siracus@Univ.Trieste.it
Liguori
G
G
Trombetta
C
C
d'Aloia
G
G
Belgrano
E
E
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*