Orthotopic neobladder: a 22-year experience.
OBJECTIVE
To analyze the outcome of orthotopic ileal neobladder related to complications and quality of life.


METHODS
From 1985 to 2006, 75 patients with mean age of 57 years, (41-75) underwent radical cystectomy and orthotopic ileal neobladder substitution. The mean follow up was 72 months (6-144). Mean operative time was 240 minutes.


RESULTS
Intraoperative blood loss ranged from 250 to 2810 ml. Ureteral stents were removed on 14th postoperative day, and patients were discharged at 2st day, average. Complications appeared in 23 patients. There were two recurrent TCC in the neobladder. Three patients died from pulmonary embolism. Vesicoureteral reflux appeared in three patients, and it was bilateral in two patients. Total of 98% patients have daytime continence.


CONCLUSIONS
Continent urinary reservoirs represent the state of the art in urinary diversion. Surgeons who perform these operations are urgent to institute requirements for careful long-term follow-up of these patients.
Hadzi-Djokic
J
J
Urologic Clinic, Clinical Center of Serbia, Belgrade.
Pejcic
T
T
Vuksanovic
A
A
Acimovic
M
M
Dzamic
Z
Z
D000328:Adult; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects