TREATMENT OF INTERSTITIAL CYSTITIS: COMPARISON OF SUBTRIGONAL AND SUPRATRIGONAL CYSTECTOMY COMBINED WITH ORTHOTOPIC BLADDER SUBSTITUTION
1998; Lippincott Williams & Wilkins; Volume: 159; Issue: 3 Linguagem: Inglês
10.1016/s0022-5347(01)63726-1
ISSN1527-3792
AutoresJürgen F. Linn, Markus Hohenfellner, Stefan Roth, Stefan E. Dahms, Raimund Stein, L. Hertle, Joachim W. Thüroff, R. Hohenfellner,
Tópico(s)Bladder and Urothelial Cancer Treatments
ResumoNo AccessJournal of UrologyClinical Urology: Original Articles1 Mar 1998TREATMENT OF INTERSTITIAL CYSTITIS: COMPARISON OF SUBTRIGONAL AND SUPRATRIGONAL CYSTECTOMY COMBINED WITH ORTHOTOPIC BLADDER SUBSTITUTION JURGEN F. LINN, MARKUS HOHENFELLNER, STEFAN ROTH, STEFAN E. DAHMS, RAIMUND STEIN, LOTHAR HERTLE, JOACHIM W. THUROFF, and RUDOLF HOHENFELLNER JURGEN F. LINNJURGEN F. LINN , MARKUS HOHENFELLNERMARKUS HOHENFELLNER , STEFAN ROTHSTEFAN ROTH , STEFAN E. DAHMSSTEFAN E. DAHMS , RAIMUND STEINRAIMUND STEIN , LOTHAR HERTLELOTHAR HERTLE , JOACHIM W. THUROFFJOACHIM W. THUROFF , and RUDOLF HOHENFELLNERRUDOLF HOHENFELLNER View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63726-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We retrospectively evaluate the outcome of interstitial cystitis treated with subtrigonal or supratrigonal cystectomy and orthotopic bladder substitution. Materials and Methods: Of 22 women and 1 man a mean of 51 years old with interstitial cystitis refractory to conservative therapy 17 were treated with subtrigonal cystectomy and ureteral reimplantation (group 1), and 6 were treated with supratrigonal cystectomy directly above the ureteral orifices (group 2). Both groups underwent orthotopic bladder substitution with an ileocecal pouch (Mainz pouch I). Results: Postoperatively functional capacity significantly increased from a mean plus or minus standard error of mean 46 +/− 5 to 346 +/− 57 ml. in group 1 and 34 +/− 61 to 319 +/− 29 ml. in group 2 (p <0.001). Daytime and nighttime urinary frequency significantly decreased from 24 +/− 2 to 8 +/− 1 and 7 +/− 1 to 2 +/− 1 ml., respectively, in group 1 and 28 +/− 2 to 6 +/− 1 to 1 +/− 1 ml., respectively, in group 2 (p <0.001). At a mean followup of 93.9 months 14 patients in group 1 (82%) are completely symptom-free, and 1 has tolerable residual urinary urgency and suprapubic pain. At a mean followup of 31.5 months all group 2 patients are symptom-free and void spontaneously, whereas 41% of the group 1 patients require self-catheterization after subtrigonal cystectomy. Conclusions: For interstitial cystitis refractory to conservative treatment subtotal cystectomy with orthotopic bladder substitution with the ileocecal pouch (Mainz pouch I) is a valid therapeutic option. In this series supratrigonal and subtrigonal cystectomy resulted in similar relief of symptoms but the former appears to provide better functional bladder rehabilitation. References 1 : Summary of the National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases Workshop on Interstitial Cystitis, National Institutes of Health, Bethesda, Maryland, August 28-29, 1987. J. Urol.1988; 140: 203. Abstract, Google Scholar 2 : Epidemiology of interstitial cystitis. Ann. Chir. Gynaec. Fenn.1975; 64: 75. Google Scholar 3 : The etiology of interstitial cystitis. Urol. Clin. N. Amer.1994; 21: 21. 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Google Scholar From the Department of Urology, University of Mainz, Mainz, University of Witten/Herdecke, Wuppertal and University of Munster, Munster, Federal Republic of Germany.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWein A (2019) Re: Long-Term Follow-Up after Cystectomy for Bladder Pain Syndrome: Pain Status, Sexual Function and Quality of LifeJournal of Urology, VOL. 202, NO. 6, (1101-1102), Online publication date: 1-Dec-2019.Vetterlein M, Seisen T, Speed J, Friedlander D, Meyer C, Kibel A, Menon M, Fisch M, Chun F, Sun M, Eswara J and Trinh Q (2016) 30-Day Adverse Events Following Cystectomy for Bladder Cancer Versus Benign Bladder ConditionsUrology Practice, VOL. 4, NO. 5, (388-394), Online publication date: 1-Sep-2017.Linder B, Tarrell R and Boorjian S (2014) Cystectomy for Refractory Hemorrhagic Cystitis: Contemporary Etiology, Presentation and OutcomesJournal of Urology, VOL. 192, NO. 6, (1687-1692), Online publication date: 1-Dec-2014.Nordling J and Blaivas J (2013) Should Urinary Diversion for Bladder Pain Syndrome/Interstitial Cystitis Include Cystectomy?Journal of Urology, VOL. 191, NO. 2, (293-295), Online publication date: 1-Feb-2014.NEULANDER E, RIVERA I, EISENBROWN N and WAJSMAN Z (2018) SIMPLE CYSTECTOMY IN PATIENTS REQUIRING URINARY DIVERSIONJournal of Urology, VOL. 164, NO. 4, (1169-1172), Online publication date: 1-Oct-2000.MILLS R and STUDER U (2018) FEMALE ORTHOTOPIC BLADDER SUBSTITUTION: A GOOD OPERATION IN THE RIGHT CIRCUMSTANCESJournal of Urology, VOL. 163, NO. 5, (1501-1504), Online publication date: 1-May-2000. Volume 159Issue 3March 1998Page: 774-778 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.Metrics Author Information JURGEN F. LINN More articles by this author MARKUS HOHENFELLNER More articles by this author STEFAN ROTH More articles by this author STEFAN E. DAHMS More articles by this author RAIMUND STEIN More articles by this author LOTHAR HERTLE More articles by this author JOACHIM W. THUROFF More articles by this author RUDOLF HOHENFELLNER More articles by this author Expand All Advertisement PDF downloadLoading ...
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