Ileocaecal vs ileal neobladder after radical cystectomy in patients with bladder cancer: a comparative study

BJU International
Medhat KhafagyTarek Abdel Moneim

Abstract

To compare an ileocaecal orthotopic bladder, (which has been the standard procedure in Egypt for >30 years) with the ileal neobladder, as there is no ideal continent orthotopic bladder replacement for patients after cystectomy for bladder cancer. Between June 1999 and December 2001, 60 patients with invasive bladder cancer were randomized into two groups. Group A comprised 29 patients who had radical cystectomy and reconstruction with an ileal neobladder (median age 50 years, 27 men and two women) and group B included 31 who had an ileocaecal bladder substitution after radical cystectomy (median age 51 years, 28 men and three women). The complication rate after surgery in group A was 17%, with two deaths, one from acute myocardial infarction and the other from haematemesis. In group B, the complication rate was 13%, with two deaths, one from a massive pulmonary embolism and the other from liver cell failure. Daytime continence was achieved in 93% of patients in group A and 90% in group B. The mean (sd) postvoid residual urine volume was larger in group A than group B, at 90 (72) vs 12 (20) mL. Acidosis and hyponatraemia were evident in the patients in group A but in none in group B (P < 0.05). The pelvicalyceal systems were pre...Continue Reading

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Citations

Apr 17, 2010·Bulletin of Experimental Biology and Medicine·V I KirpatovskyV V Drozhzheva
Jun 22, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C C E KoningB R Pieters
Nov 6, 2007·BJU International·Mohamed A Ghoneim, Yasser Osman
May 26, 2012·Urologia Internationalis·F Di TonnoD Lavelli
Nov 1, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C C E KoningB R Pieters

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