Urinary function following radical cystectomy and orthotopic neobladder urinary reconstruction

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
Ameeta L NayakRodney H Breau

Abstract

An orthotopic neobladder urinary diversion aims to minimize the physical and psychological effects of radical cystectomy through avoidance of a stoma and maintenance of urethral voiding. Neobladder function reported in the literature ranges widely due to differences in patient selection and method of assessment. The objective of the study was to characterize functional outcomes of consecutive patients treated at a tertiary care hospital. A historical cohort of patients who underwent radical cystectomy with a neobladder diversion performed at The Ottawa Hospital between January 2006 and December 2014 were reviewed. Outcomes of interest were urinary continence, use of clean intermittent catheterization (CIC), post-void residual volume, and uroflowmetry at three, six, and 12 months following cystectomy. During the study period, 158 neobladder diversions were performed. The mean age of patients was 63.1 years (standard deviation [SD] 8.1), and 81.7% were male. Significant daytime incontinence (>1 pad) three months following surgery was common (65%), but decreased to 8.6% by 12 months. Nighttime incontinence was also common at three months (54%) and improved at 12 months (20%). While no appreciable differences between men and women ...Continue Reading

Citations

Oct 18, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Aldo BrassettiGiuseppe Simone
Jan 8, 2021·Seminars in Oncology Nursing·Susanne Vahr Lauridsen
Nov 20, 2020·World Journal of Urology·Berfin ErdoganGuido Müller
Mar 27, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Umar IqbalKhurshid A Guru
Jul 28, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A El AzabA Abdelbary

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