title: Modified S-ileal neobladder for continent urinary diversion: functional and urodynamic results after 20 years of follow-up.
abstract: OBJECTIVE
  To report continence and urodynamic findings after radical cystectomy and urinary diversion with modified S-ileal neobladder between January 1993 and January 2013.
  
  
  METHODS
  181 patients were enrolled. Continence status, reservoir sensation, compliance, capacity and activity were assessed.
  
  
  RESULTS
  Daytime continence was reported by 88.0, 98.4 and 99.2%, while nighttime continence was reported by 70.2, 94.0 and 95.8% of our patients at 6 months, 5 years and 20 years, respectively. Enterocystometric capacity and maximum reservoir pressure were 366 vs. 405 ml and 502 ml, and 29 vs. 18 and 11 cm H2O, at 6 months, 5 years and 20 years, respectively. Median post-void residual urine volume was 32 ml at 6 months, 50 ml at 5 years and 120 ml at 20 years.
  
  
  CONCLUSIONS
  The modified S-ileal neobladder technique has a very good long-lasting functional outcome, with high day- and nighttime continence levels as well as high acceptability rates from our patients.
authors.affiliation: 2nd Department of Surgery, Aretaieion Hospital, University of Athens, Athens, Greece.
authors.forename: Athanasios E
authors.initials: AE
authors.lastname: Dellis
authors.forename: Athanasios G
authors.initials: AG
authors.lastname: Papatsoris
authors.forename: Andreas A
authors.initials: AA
authors.lastname: Skolarikos
authors.forename: Ioannis M
authors.initials: IM
authors.lastname: Varkarakis
authors.forename: Charalambos N
authors.initials: CN
authors.lastname: Deliveliotis
mesh_terms: D000368:Aged; D015653:Cystectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011312:Pressure; D011446:Prospective Studies; D001743:Urinary Bladder / Q000473:pathology*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D016476:Urinary Reservoirs, Continent; D014554:Urination; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*