title: Orthotopic neobladder urinary diversion for carcinoma of urinary bladder.
abstract: BACKGROUND
  Invasive cancers of urinary bladder need radical cystectomy as an optimal treatment. Urinary diversions of different types are available after the procedure. Orthotopic neo-bladder reconstruction is an emerging technique of diversion in suitable patients. The aim of this study was to see the outcome of this procedure in our set up.
  
  
  METHODS
  The patient with carcinoma of urinary bladder who underwent radical cystectomy and orthotopic neo- bladder reconstruction during five year period were included in the study from department of surgical oncology in a hospital. Studer type ileal pouches were made in all the patients and their outcomes were studied.
  
  
  RESULTS
  There were 30 patients among which 28 were male and 2 female. Age ranged from 38-60 years with mean age of 49.6 years. Average operative time was 330 minutes. Average hospital stay was 16 days (range 14-30 days). Majority of patients were transitional cell carcinoma 26 (86.7%) in histology. Majority of cases presented in stage II (53.3%). Post-operative complications were ileus in 30%, urinary leak in 26.6% and pneumonia in 13.3% of patients. Mortality was 1 (3.3%) on 29th postoperative day. Patients were able to micturate with satisfactory stream postoperatively.
  
  
  CONCLUSIONS
  Orthotopic neobladder has similar complication rates compared with other forms of continent diversions. This method gives less psychological trauma to the patients with higher acceptance. So we recommend transforming the technique from ileal conduits to neobladder in well-established pelvic reconstruction set ups.
authors.affiliation: Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital, Chitwan, Nepal. nirmal.lamichhane@gmail.com
authors.forename: N
authors.initials: N
authors.lastname: Lamichhane
authors.forename: U
authors.initials: U
authors.lastname: Nepal
authors.forename: B R
authors.initials: BR
authors.lastname: Neupane
authors.forename: B K
authors.initials: BK
authors.lastname: Thakur
authors.forename: B M
authors.initials: BM
authors.lastname: Shrestha
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology; D001749:Urinary Bladder Neoplasms / Q000453:epidemiology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*