PMID: 9535596Apr 16, 1998Paper

Construction and voiding functions of three types of orthotopic neobladders using colonic segments: the Kobe University experience

International Journal of Urology : Official Journal of the Japanese Urological Association
H OkadaS Kamidono

Abstract

At Kobe University Hospital we have created orthotopic neobladders since 1988 by using several colonic segments. Various types of neobladders were compared and a detailed description of these procedures and the voiding function outcome is presented. Thirty-two men with invasive bladder carcinoma or recurrent carcinoma in situ underwent a radical cystectomy followed by orthotopic neobladder replacement using a right colonic, ileocolic or sigmoid colonic segment. The functional capacity, percentage of residual urine volume, configuration of the neobladder, and location in the pelvis were evaluated 1 year after surgery. Voiding function was evaluated using a questionnaire which included questions on diurnal and nocturnal continence, and by uroflowmetric analysis. Operative time, blood loss, and functional neobladder capacity did not differ for the 3 types of neobladders. The configuration of the right colonic and ileocolic neobladders resembled the shape of a rugby ball. The configuration of the sigmoid neobladder was oval. The right colonic and ileocolic neobladders tended to be located along the right side wall of the pelvis. The sigmoid neobladder was located in the center of the pelvis. Daytime and nocturnal continence was not...Continue Reading

References

Jan 1, 1991·The Journal of Urology·P K ReddyE E Fraley
Oct 1, 1965·The Journal of Urology·E A Hradec
Oct 1, 1965·The Journal of Urology·J M Gil-Vernet
Jan 1, 1994·Neurourology and Urodynamics·D Porru, E Usai
Dec 1, 1994·The Journal of Urology·G M Coombes, R J Millard

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Citations

Jun 5, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Hideaki MiyakeMasato Fujisawa
Nov 4, 2010·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Arnulf StenzlMarkus Kuczyk
Aug 31, 1999·International Journal of Urology : Official Journal of the Japanese Urological Association·Y AraiY Okada
Feb 7, 2001·The Journal of Urology·M FujisawaS Kamidono
Jan 23, 1999·The Journal of Urology·H ShimogakiN Yamanaka

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