[Orthotopic replacement of the urinary bladder in females].
Orthotopic cystoplasty for various diseases of the urinary bladder was made in 58 females aged 22 to 78 years (mean age 52.5 +/- 5.8 years) in 1996-2005. Surgery was indicated in muscular-invasive cancer of the bladder (n = 35, 60.3%), microcystis (n = 21, 36.3%), bladder atonia (n = 1, 1.7%), vesicovaginal fistula (n = 1, 1.7%). The reservoir was made of iliac segment in 50 (86,2%) patients, of gastric body - in 8 (13.8%) patients. Postoperative complications arose in 7 (12.1%) patients, late complications occurred in 4 (6.8%). Postoperative lethality was not registered, 12 months later 3 (5.2%) patients died of cancer progressiion. Day continence after ileo- and gastrocystoplasty was 93.3 and 87.8%, night - 45.2 and 32.8%, respectively. Urodynamics was satisfactory. Chronic continence occurred in 3 (5.6%) patients. Satisfactory clinical and functional results of artificial reservoir creation in females support advantages of this method of urine derivation. Gastrocystoplasty is a promising method of urinary bladder replacement. It is important to assess function of the lower urinary tract before operation. Reservoir-vaginal fistula is a new kind of urogenital fistulas. It is treated by transvaginal fistuloraphy.
Komiakov
B K
BK
Fadeev
V A
VA
Novikov
A I
AI
Gorelov
A I
AI
Zuban'
O N
ON
Sergeev
A V
AV
Korokhodkina
M V
MV
Burlaka
O O
OO
D000328:Adult; D000368:Aged; D003559:Cystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D013270:Stomach / Q000601:surgery; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000601:surgery