title: [Mid-long-term follow-up of radical cystectomy with orthotopic ileal neobladder in women patients with bladder carcinoma].
abstract: OBJECTIVE
  To assess the mid-long-term efficacies of orthotopic urinary diversion in women.
  
  
  METHODS
  From February 2003 to August 2012, 28 female patients with bladder cancer underwent radical cystectomy and orthotopic ileal neobladder.Open (n = 18) and laparoscopic (n = 9) procedures were performed.Ileal neobladder included 17 T-pouch and 11 modified Studer pouch reconstruction. The continence status, urodynamics, serum electrolyte and renal function were followed up.
  
  
  RESULTS
  The mean follow-up period was 55 (8-114) months.Excellent continence was achieved during day-time in 82.1%, 92.3% and 90.5% cases at 6, 12 and 24 months postoperatively and in 53.6%, 88.5% and 90.5% cases at night respectively. The mean capacity of pouch was 282 ± 87, 345 ± 72 and 357 ± 75 ml at 6, 12 and 24 months postoperatively respectively. The mean filling pressure of pouch was 10.8 ± 3.2, 6.7 ± 2.6 and 6.2 ± 2.1 cmH₂O postoperatively respectively.One case of neobladder-vaginal fistula was cured by surgical repair. Another case of urethral stenosis responded well after regular dilation for 6 months.Renal function and electrolyte metabolism were stable in all cases. There was no instance of tumor recurrence or metastasis.
  
  
  CONCLUSIONS
  Orthotopic urinary diversion in females has excellent long-term results with fewer complications so that it is highly recommended.
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
authors.forename: Liming
authors.initials: L
authors.lastname: Song
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China. Email: nianzeng2006@vip.sina.com.
authors.forename: Nianzeng
authors.initials: N
authors.lastname: Xing
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
authors.forename: Yinong
authors.initials: Y
authors.lastname: Niu
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
authors.forename: Junhui
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
authors.forename: Xiquan
authors.initials: X
authors.lastname: Tian
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
authors.forename: Jianwen
authors.initials: J
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*