[Functional evaluation of the orthotopic Z-shaped ileal detubulated neobladder with a minimal 5-year follow-up].
OBJECTIVE
Study and evaluate the orthotopic Z-shaped neobladder in the long term and life quality of patients bearing this type of replacement.


METHODS
Based on 162 medical records of patients who have undergone total cystoprostatectomy and orthotopic Z-shaped replacement because of bladder cancer with a minimal 5-year follow-up. Forty patients (113-month average follow-up) residing in the region were notified for a clinical consultation and were the basis for the target population of this study. A physical examination, a Pad test and a specific consultation allowed for continence evaluation whereas three validated surveys allowed for life quality appreciation.


RESULTS
Continence was satisfactory for 82% of the patients during the day and 55% during the night. There was a significant negative correlation between a patient's age at the time of the cystoprostatectomy and diurnal continence. Life quality was estimated as good in the long term.


CONCLUSIONS
The functional results of the Z-shaped ileal detubulated neobladder in the long term are satisfactory. It allows for good urination quality and satisfactory quality of life for patients subject to total cystoprostatectomy because of cancer as well as body schema's conservation.
Demesmaeker
M
M
Service d'urologie, hôpital Foch, Suresnes, France. matdemes@hotmail.com
Lebret
T
T
Yonneau
L
L
Hervé
J-M
JM
Botto
H
H
D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016476:Urinary Reservoirs, Continent / Q000502:physiology*; D013520:Urologic Surgical Procedures / Q000379:methods