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Creation of an ileocolic bladder after cystectomy | JoVE Visualize

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Creation of an ileocolic bladder after cystectomy

¹James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.

The Journal of Urology|June 1, 1988

View abstract on PubMed

Summary

This study explores creating a neobladder from ileum and colon segments after cystectomy for cancer. The technique aims to restore volitional voiding, urinary continence, and sexual function post-surgery.

Area of Science:

Urology
Surgical Oncology
Reconstructive Surgery

Background:

Cystectomy for bladder cancer necessitates urinary diversion.
Maintaining volitional voiding, continence, and sexual function is a challenge after cystectomy.

Purpose of the Study:

To evaluate a novel neobladder reconstruction technique using ileum and colon segments.
To assess the functional outcomes, including continence and voiding, after cystectomy with neobladder creation.

Main Methods:

A divided segment of ileum and colon was utilized to construct a neobladder.
A cecourethral anastomosis was performed for volitional voiding.
Standard nerve-sparing cystoprostatectomy was conducted, ensuring oncological safety.

Main Results:

Patients with a urethral anastomosis achieved day and nighttime continence.
Patients with a cutaneous stoma reported 4 to 5-hour dry intervals.
The neobladder provided a large, low-pressure reservoir with good sensation and antireflux ureteral anastomosis.

Conclusions:

Ileocolonic neobladder reconstruction after cystectomy can restore volitional voiding and urinary continence.
This technique preserves sensation and allows for sexual function post-cystectomy.
Neobladder creation is a viable option for patients with diffuse carcinoma in situ, offering continence with intermittent catheterization.

Electrical Engineering

Circuits And Systems

Creation Of An Ileocolic Bladder After Cystectomy