Detubularized rectosigmoid neobladder in women after cystectomy for bladder cancer.

Abstract

BACKGROUND AND OBJECTIVES:

We present the long-term functional results of a new technique for bladder substitution after cystectomy for bladder cancer in women.

METHODS:

Between 1991 and 1995, 10 women underwent radical cystectomy for bladder cancer with a new technique. We created a detubularized rectosigmoid neobladder associated with either a terminal colostomy or intrasphincteric perineal colostomy section (Heitz-Boyer-Hovelacque). We evaluated neobladder functioning over almost 5 years by means of urodynamic studies, ultrasound scans, urograms and pouchgrams, and renal function tests.

RESULTS:

Neobladder function was excellent in all patients, with good diurnal and nocturnal urinary continence, voiding patterns, and preservation of the upper urinary tract.

CONCLUSIONS:

This new technique, which is a modification of the standard rectal or rectosigmoid neobladder technique, is a valid alternative to the ortothopic neobladder in women, with good functional results.

• Authors: E Mearini, L Mearini, A Zucchi, E Costantini, G Goracci, M Porena
• Journal: Journal of surgical oncology (J Surg Oncol) Vol. 74 Issue 1 Pg. 49-52 (May 2000) ISSN: 0022-4790 [Print] United States
• PMID: 10861610 (Publication Type: Journal Article)
• Copyright: Copyright 2000 Wiley-Liss, Inc.

Topics

• Colon, Sigmoid (surgery)
• Cystectomy
• Female
• Humans
• Plastic Surgery Procedures
• Rectum (surgery)
• Suture Techniques
• Urinary Bladder Neoplasms (physiopathology, rehabilitation, surgery)
• Urinary Diversion (methods, rehabilitation)
• Urodynamics