[Complications and functional results of Hautmann ileal bladder in a series of 87 patients].

Abstract

OBJECTIVES:

To retrospectively evaluate the complications, urinary reservoir function and quality of life of patients with Hautmann ileal bladder after cystectomy for bladder urothelial carcinoma.

METHODS:

From 1994 to 2004, 87 patients with a mean age of 61.1 years underwent total cystoprostatectomy (n = 85 men) or radical cystectomy (n = 2 women) with Hautmann replacement enterocystoplasty. The mean follow-up was 40.7 months. Continence, quality of voiding, and quality of life were evaluated by self-administered questionnaires (continence questionnaire, DITROVIE score, I-PSS score).

RESULTS:

The early complication rate was 30.1%, including 6.9% related to the ileal bladder. The late complication rate was 33.6%, including 20.9% related to the ileal bladder. Four patients died during the perioperative period, 14 patients (17%) died from progression of their cancer and 7 patients (8%) died from an independent cause. One patient was lost to follow-up. Questionnaires were sent to 56 patients and 52 replies were received: 96.2% of patients were continent during the day, 53.8% were continent at night. 4.9% of patients performed self-catheterization for chronic urine retention, 90.4% of patients were satisfied with their replacement bladder and only 5.8% of patients had an altered quality of life.

CONCLUSION:

Despite a considerable morbidity rate and a significant nocturnal incontinence rate, the orthotopic Hautmann W-shaped ileal bladder does not appear to alter the patients' quality of life.

• Authors: Jean-Louis Campos-Fernandes, Hakim Fassi-Fehri, Lionel Badet, Marc Colombel, Xavier Martin, Jean-Marie Marechal
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 15 Issue 6 Pg. 1074-9 (Dec 2005) ISSN: 1166-7087 [Print] France
• Vernacular Title: Complications et résultats fonctionnels de la vessie iléale de Hautmann: a propos de 87 patients.
• PMID: 16429655 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Female
• Humans
• Ileum (transplantation)
• Male
• Middle Aged
• Patient Satisfaction
• Postoperative Complications (epidemiology, etiology)
• Retrospective Studies
• Time Factors
• Urinary Bladder Neoplasms (surgery)
• Urinary Reservoirs, Continent (adverse effects, physiology)
• Urologic Surgical Procedures (methods)