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LONG-TERM EXPERIENCE WITH ORTHOTOPIC RECONSTRUCTION OF THE LOWER URINARY TRACT IN WOMEN

1999; Lippincott Williams & Wilkins; Volume: 161; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(01)61954-2

1527-3792

Hiroyoshi Shimogaki, Hiroshi Okada, Masato Fujisawa, Soichi Arakawa, Gaku Kawabata, Sadao Kamidono, Nozomu Yamanaka,

Ureteral procedures and complications

No AccessJournal of UrologyClinical Urology: Female Urology1 Feb 1999LONG-TERM EXPERIENCE WITH ORTHOTOPIC RECONSTRUCTION OF THE LOWER URINARY TRACT IN WOMEN HIROYOSHI SHIMOGAKI, HIROSHI OKADA, MASATO FUJISAWA, SOICHI ARAKAWA, GAKU KAWABATA, SADAO KAMIDONO, and NOZOMU YAMANAKA HIROYOSHI SHIMOGAKIHIROYOSHI SHIMOGAKI , HIROSHI OKADAHIROSHI OKADA , MASATO FUJISAWAMASATO FUJISAWA , SOICHI ARAKAWASOICHI ARAKAWA , GAKU KAWABATAGAKU KAWABATA , SADAO KAMIDONOSADAO KAMIDONO , and NOZOMU YAMANAKANOZOMU YAMANAKA View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)61954-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the long-term outcome of orthotopic neobladders in women. Materials and Methods: At our institutions 8 women have undergone lower urinary tract reconstruction with an orthotopic neobladder and have been followed for more than 4 years. After urethral sparing cystectomy the neobladder was constructed and connected to the native urethra. Late complications were analyzed, and voiding function was evaluated by a pressure flow micturition study and bead-chain cystourethrography. Results: No late complications related to the surgery were noted. Of the 8 patients 7 were completely dry day and night. Four patients with ileal neobladder required clean intermittent catheterization, and hypercontinence might have been caused by downward migration of the neobladder and reduced neobladder pressure at voiding. No recurrence in the native urethra was noted, and all patients were satisfied postoperatively. Conclusions: These results of orthotopic neobladder in women are encouraging. Overall patient satisfaction was excellent. An international collaborative study is necessary to achieve the number of patients required to determine the ideal orthotopic neobladder for women. 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Link, Google Scholar From the Departments of Urology, Shinko Hospital and Kobe University School of Medicine, Kobe, JapanSupported by Grant 09671627 for scientific research by the Japanese Ministry of Education, Science and Culture.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byChang S, Cole E, Cookson M, Peterson M and Smith J (2018) Preservation of the Anterior Vaginal Wall During Female Radical Cystectomy With Orthotopic Urinary Diversion: Technique and ResultsJournal of Urology, VOL. 168, NO. 4 Part 1, (1442-1445), Online publication date: 1-Oct-2002.Ali-El-Dein B, Gomha M and Ghoneim M (2018) Critical Evaluation of the Problem of Chronic Urinary Retention After Orthotopic Bladder Substitution in WomenJournal of Urology, VOL. 168, NO. 2, (587-592), Online publication date: 1-Aug-2002.Chang S, Cole E, Smith J and Cookson M (2018) Pathological Findings of Gynecologic Organs Obtained at Female Radical CystectomyJournal of Urology, VOL. 168, NO. 1, (147-149), Online publication date: 1-Jul-2002.FUJISAWA M, GOTOH A, MIYAZAKI S, NAKAMURA I, HARA I, OKADA H, ARAKAWA S and KAMIDONO S (2018) SIGMOID NEOBLADDER IN WOMEN AFTER RADICAL CYSTECTOMYJournal of Urology, VOL. 163, NO. 5, (1505-1509), Online publication date: 1-May-2000.Zinman L (2018) EDITORIAL: CHANGING CONCEPTS IN ORTHOTOPIC URINARY DIVERSIONJournal of Urology, VOL. 161, NO. 6, (1807-1808), Online publication date: 1-Jun-1999. Volume 161Issue 2February 1999Page: 573-577 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.Metrics Author Information HIROYOSHI SHIMOGAKI More articles by this author HIROSHI OKADA More articles by this author MASATO FUJISAWA More articles by this author SOICHI ARAKAWA More articles by this author GAKU KAWABATA More articles by this author SADAO KAMIDONO More articles by this author NOZOMU YAMANAKA More articles by this author Expand All Advertisement PDF downloadLoading ...