Laparoscopic ileovesicostomy.
OBJECTIVE
We present our initial experience with laparoscopic ileovesicostomy for managing neurogenic bladder.


METHODS
A 5 port transperitoneal approach was used for laparoscopic ileovesicostomy. After bladder preparation a 17 cm. ileal segment was harvested and used as the urinary conduit. Ileovesical anastomosis was formed using intracorporeal suturing and knot tying techniques.


RESULTS
Operative time was 4 hours. Blood loss was less than 100 ml. Physical activity and oral intake resumed on postoperative day 1 and the patient was discharged home on postoperative day 3. The postoperative narcotic requirement was 4 mg. morphine sulfate equivalent. There were no intraoperative or postoperative complications.


CONCLUSIONS
Laparoscopic ileovesicostomy in this initial experience was associated with acceptable operative time and minimal postoperative morbidity. It may serve as an excellent minimally invasive alternative to conventional open ileovesicostomy.
Hsu
Thomas H S
TH
Section of Voiding Dysfunction and Female Urology, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Rackley
Raymond R
RR
Abdelmalak
Joseph B
JB
Tchetgen
Marie-Blanche
MB
Madjar
Shahar
S
Vasavada
Sandip P
SP
D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000601:surgery; D013536:Suture Techniques; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D016055:Urinary Retention / Q000601:surgery