[Orthotopic bladder substitution in the treatment of interstitial cystitis].

Abstract

OBJECTIVES:

To point out the efficacy of supra trigonal cystectomy with orthotopic substitution iliocystoplasty in the treatment of advanced interstitial cystitis (IC).

METHODS:

We study the results obtained in four women suffering IC nonrespondent to conservative treatment who underwent the procedure. All patients comply with classic diagnostic criteria of IC, presenting long-lasting symptoms, between 4 and 8 years (mean 5.6), and voiding frequency of near one-hour day and night.

RESULTS:

Mean postoperative follow-up was 32 months (18 to 56); post operative evaluation included clinical evaluation, ultrasound, urodynamic studies, and radiological tests. Suprapubic pain disappeared in all cases, as well as pre-op lower urinary tract symptoms, with good control of urinary frequency day and night being evident in the immediate postoperative period. All patients referred high satisfaction with the outcome.

CONCLUSIONS:

When conservative treatment fails, supratrigonal cystectomy with orthotopic neobladder substitution is a valid therapeutic option in IC patients who comply with classic diagnostic criteria.

• Authors: Pedro Navalón Verdejo, Felipe Ordoño Domínguez, Luis De la Torre Abril, Francisco Sánchez Ballester, Joaquín Juan Escudero, Macarena Ramos de Campos, Francisco Ramada Benlloch
• Journal: Archivos espanoles de urologia (Arch Esp Urol) Vol. 58 Issue 7 Pg. 605-10 (Sep 2005) ISSN: 0004-0614 [Print] Spain
• Vernacular Title: Sustitución vesical ortotópica en el tratamiento de la cistitis intersticial.
• PMID: 16294782 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Cystectomy (methods)
• Cystitis, Interstitial (surgery)
• Female
• Humans
• Ileum (transplantation)
• Middle Aged
• Urinary Bladder (surgery)