title: Laparoscopic Radical Cystectomy and Ileal Neobladder for Muscle Invasive Bladder Cancer in Combination with One Stage Prophylactic Laparoscopic Sacrospinal Fixation to Avoid Future Pelvic Organ Prolapse.
abstract: BACKGROUND
  Women who undergo cystectomy with orthotopic ileal neobladder are more likely to have urinary retention and neocystocele mainly because of anatomical reasons than stress urinary incontinence. The risk is even higher in case of neurologic comorbidities, as in case of our patient.
  
  
  METHODS
  We present a laparoscopic mesh insertion for sacrospinal colposuspension to prevent a neocystocele and pelvic organ prolapse in combination with laparoscopic radical cystectomy in a female patient suffering from bladder cancer and chronic episodic multiple sclerosis. After a 30-month follow-up, the patient is continent and voids without residual urine. A dynamic MR of the pelvis shows a minimal rectocele without any evidence of a cystocele.
  
  
  CONCLUSIONS
  Laparoscopic cystectomy combined with sacrospinal mesh fixation is technically feasible and could be an option to prevent neocystocele for female patients.
authors: Department of Urology and Andrology, University Hospital of Salzburg , Salzburg, Austria .
authors: Péter
authors: P
authors: Törzsök
authors: Department of Urology and Andrology, University Hospital of Salzburg , Salzburg, Austria .
authors: Sophina
authors: S
authors: Bauer
authors: Department of Radiology, University Hospital of Salzburg , Salzburg, Austria .
authors: Rosemarie
authors: R
authors: Forstner
authors: Department of Urology and Andrology, University Hospital of Salzburg , Salzburg, Austria .
authors: Karl-Dietrich
authors: KD
authors: Sievert
authors: Department of Urology and Andrology, University Hospital of Salzburg , Salzburg, Austria .
authors: Günter
authors: G
authors: Janetschek
authors: Department of Urology and Andrology, University Hospital of Salzburg , Salzburg, Austria .
authors: Reinhold
authors: R
authors: Zimmermann