title: [Functional and urodynamic characteristics in patients with ileal neobladder].
abstract: We analyzed the functional and urodynamic characteristics in 19 patients with ileal neobladder by the Hautmann procedure. A questionnaire survey by mail was performed for functional information of neobladder. Seventeen of the 19 patients (89.5%) could voluntarily void via the urethra and the others needed clean intermittent self catheterization (CIC) because of their significant residual volume. Eight of the 19 patients (42.1%) micturated at least two times at night. Two of the 19 patients (10.5%) were incontinent in the day time and 12 (63.2%) in the night time. They needed 2 pads in the day time and one pad at night on average. Eight out of 18 patients (44.4%) were satisfied with their micturition state. A urodynamic study showed the neobladder to be a low-pressure reservoir with a mean capacity of 395.2 +/- 96.8 ml. The mean residual volume of the patients without CIC was 27.8 +/- 28.2 ml. In 10 out of 11 patients high frequency and high amplitude spikes were seen by the perineal electromyogram in the voiding phase.
authors.affiliation: Department of Urology, Saitama Medical Center, Saitama Medical School.
authors.forename: Katsushi
authors.initials: K
authors.lastname: Nagahama
authors.forename: Takumi
authors.initials: T
authors.lastname: Yamada
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Ichiyanagi
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sakai
authors.forename: Shigenari
authors.initials: S
authors.lastname: Kamata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fukuda
authors.forename: Akiko
authors.initials: A
authors.lastname: Tanizawa
authors.forename: Tohru
authors.initials: T
authors.lastname: Watanabe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saitoh
authors.forename: Susumu
authors.initials: S
authors.lastname: Horiuchi
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Machida
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000502:physiology*; D014554:Urination; D014563:Urodynamics