PMID: 11342891May 9, 2001Paper

Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients

The Journal of Urology
Hassan Abol-Enein, M A Ghoneim

Abstract

We report functional results of the orthotopic ileal neobladder using a serous-lined extramural tunnel as an antireflux procedure. One-stage radical cystectomy and orthotopic ileal W-shaped neobladder creation were performed in 353 male and 97 female patients for invasive bladder cancer. The ureters were reimplanted using a serous-lined extramural tunnel for reflux prevention. Of the patients 344 were evaluable at a mean followup plus or minus standard deviation of 38 +/- 25 months. Evaluation included clinical and radiographic studies to determine functional and oncological outcomes. Four patients (0.8%) died in the hospital. Early complications in 42 patients (9%) were treated conservatively but 3 women underwent vaginal repair of a pouch-vaginal fistula. During the observation period there were 90 oncological failures, of which 3 were isolated urethral recurrence. Late complications included pouch stones in 10 cases, outflow obstruction in 11, mucous retention in 2, adhesive bowel obstruction in 3 and hypercontinence in 9 females. The incidence of daytime and nighttime continence was 93.3% and 80%, respectively. The upper tracts remain unchanged or improved in 96.2% of the reimplanted renal units, while reflux was observed i...Continue Reading

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Citations

Jul 10, 2012·Der Urologe. Ausg. A·A KocotH Riedmiller
Jan 13, 2012·International Urogynecology Journal·Katherine GelberSteven Minaglia
Aug 19, 2004·World Journal of Urology·Scott B Farnham, Michael S Cookson
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May 3, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Raimund SteinJoachim W Thüroff
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