[Camey II type orthotopic bladder replacement and its complications: 10-year experience].
BACKGROUND
To evaluate the complications on patients undergoing radical cystectomy with Camey II ileal orthotopic neobladder.


METHODS
To review our series of 61 radical cystectomies performed between 1990 and 1999 for bladder cancer. The complications were divided in early (30 days or less) and late.


RESULTS
A patient died at the immediate postoperative. It appeared 35 early complications on 30 patients: 8 related with neobladder (urinary fistula and urinary infection) and 27 not related, being the most frequent those appearing at bowel site, with 10 early surgeries (16.4%). After evaluating 55 patients for late complications, 39 presented some kind of complication: 38 related with neobladder and 13 not related, 30 patients underwent surgery, being 19 of them under endoscopic way. 74.4% of continents by day and 31.4% at night.


CONCLUSIONS
Despite the acceptable functional results, the orthotopic bladder substitution presents a not comptemtible rate of complications. In other way, a lack of standard criteria make difficult the comparation with other series and types of bladder substitution.
Montesino Semper
M
M
Servicio de Urología, Hospital Virgen del Camino, Pamplona, Navarra.
Santiago González de Garibay
A
A
Ruiz Ramo
M
M
Hualde Alfaro
A
A
Jiménez Calvo
J
J
de Pablo Cárdenas
A
A
Pinós Paul
M
M
Lozano Uruñuela
F
F
D000328:Adult; D000368:Aged; D015653:Cystectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*