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Original Articles: Bladder Cancer: Orthotopic Ileal Neobladder in Female Patients After Radical Cystectomy: 2-Year Experience

1995; Lippincott Williams & Wilkins; Volume: 153; Issue: 3S Linguagem: Inglês

10.1016/s0022-5347(01)67612-2

1527-3792

A Cancrini, Piero De Carli, Hassan Fattahi, Vincenzo Pompeo, R Cantiani, Magnus Von Heland, Randell G. Rowland,

Urinary and Genital Oncology Studies

No AccessJournal of UrologyClinical Urology: Original Article1 Mar 1995Original Articles: Bladder Cancer: Orthotopic Ileal Neobladder in Female Patients After Radical Cystectomy: 2-Year Experience Antonio Cancrini, Piero De Carli, Hassan Fattahi, Vincenzo Pompeo, Ruggero Cantiani, Magnus Von Heland, and Randell G. Rowland Antonio CancriniAntonio Cancrini , Piero De CarliPiero De Carli , Hassan FattahiHassan Fattahi , Vincenzo PompeoVincenzo Pompeo , Ruggero CantianiRuggero Cantiani , Magnus Von HelandMagnus Von Heland , and Randell G. RowlandRandell G. Rowland View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67612-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We describe a surgical technique to conserve urinary continence in 7 women who underwent radical cystectomy with construction of an orthotopic ileal neobladder for infiltrating bladder carcinoma. The selection of the patients and the surgical procedure to preserve the anatomical and functional integrity of the female urethra are described. Followup ranged from 7 to 28 months. There were no postoperative deaths or serious clinical complications. The urinary continence rate was 100% during the day and 71% at night with micturition at regular 3-hour intervals. The vesical capacity varied from 250 to 400 cc and pressure at maximum capacity from 10 to 25 cm. water. Urinary flow was satisfactory and the urethral pressure profile showed a normal sphincteric mechanism at rest. Two patients died of metastases at 14 and 8 months postoperatively, and 5 are alive and disease-free. We believe that these results confirm the possibility of obtaining micturition in women via the urethra following radical cystectomy. References 1 : Radical cystectomy and ileal neobladder in female patients with bladder cancer. Scand. J. Urol. Nephrol.1992; 142: 187. Google Scholar 2 : An ileal neobladder for a female patient after a radical cystectomy to ensure voiding from the urethra: a case report. Jap. J. Clin. Oncol.1992; 22: 359. Google Scholar 3 : Vessie de substitution realisee au moyen de l'ileon replie. J. d'Urol.1988; 94: 273. Google Scholar 4 : Urethral involvement in female patients with bladder cancer. A study of 22 cystectomy specimens. Cancer1990; 65: 1237. Google Scholar 5 : Functional bladder replacement in the female after radical cystectomy: experimental investigations on a new concept. Scand. J. Urol. Nephrol.1992; 142: 144. Google Scholar 6 Coloby, P. J., Tobisu, K., Fujimoto, H. and Kakizoe, T.: Ileal neobladder in female patients with bladder cancer. Proceedings of the XI Congress of European Association of Urology. Berlin, July 13-16, 1994. Google Scholar From the Department of Urological Oncology, Regina Elena National Cancer Institute and Department of Urology, La Sapienza University of Rome, Rome, Italy. Department of Urology, University Hospital, Indianapolis, Indiana© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFinley D, Lee U, McDonough D, Raz S and deKernion J (2011) Urinary Retention After Orthotopic Neobladder Substitution in FemalesJournal of Urology, VOL. 186, NO. 4, (1364-1369), Online publication date: 1-Oct-2011.Chang 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.ALI-EL-DEIN B and GHONEIM M (2018) EFFECTS OF SELECTIVE AUTONOMIC AND PUDENDAL DENERVATION ON THE URETHRAL FUNCTION AND DEVELOPMENT OF RETENTION IN FEMALE DOGSJournal of Urology, VOL. 166, NO. 4, (1549-1554), Online publication date: 1-Oct-2001.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.TCHETGEN M, SANDA M, MONTIE J and FAERBER G (2018) COLLAGEN INJECTION FOR THE TREATMENT OF INCONTINENCE AFTER CYSTECTOMY AND ORTHOTOPIC NEOBLADDER RECONSTRUCTION IN WOMENJournal of Urology, VOL. 163, NO. 1, (212-214), Online publication date: 1-Jan-2000.ALI-EL-DEIN B, EL-SOBKY E, HOHENFELLNER M and GHONEIM M (2018) ORTHOTOPIC BLADDER SUBSTITUTION IN WOMEN: FUNCTIONAL EVALUATIONJournal of Urology, VOL. 161, NO. 6, (1875-1880), Online publication date: 1-Jun-1999.GBUREK B, LIEBER M and BLUTE M (2018) COMPARISON OF STUDER ILEAL NEOBLADDER AND ILEAL CONDUIT URINARY DIVERSION WITH RESPECT TO PERIOPERATIVE OUTCOME AND LATE COMPLICATIONSJournal of Urology, VOL. 160, NO. 3 Part 1, (721-723), Online publication date: 1-Sep-1998.Stein J, Grossfeld G, Freeman J, Esrig D, Ginsberg D, Cote R, Skinner E, Boyd S, Lieskovsky G and Skinner D (2018) Orthotopic Lower Urinary Tract Reconstruction in Women Using the Kock Ileal Neobladder: Updated Experience in 34 PatientsJournal of Urology, VOL. 158, NO. 2, (400-405), Online publication date: 1-Aug-1997.Hautmann R, Paiss T and de Petriconi R (2018) The Ileal Neobladder in Women: 9 Years of Experience with 18 PatientsJournal of Urology, VOL. 155, NO. 1, (76-81), Online publication date: 1-Jan-1996. Volume 153Issue 3SMarch 1995Page: 956-958 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Antonio Cancrini More articles by this author Piero De Carli More articles by this author Hassan Fattahi More articles by this author Vincenzo Pompeo More articles by this author Ruggero Cantiani More articles by this author Magnus Von Heland More articles by this author Randell G. Rowland More articles by this author Expand All Advertisement PDF downloadLoading ...