Document Detail

Short ileal segment for orthotopic neobladder: a feasibility study.
MedLine Citation:
PMID:  20649826     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The objective of this study was to present the construction of a neobladder with a modified pouch technique using 25-35 cm of terminal ileum.
METHODS: Thirty-eight patients whose pouch was constructed from 25-35 cm of terminal ileum (short pouch [SP] group) were prospectively evaluated vs 41 patients whose pouch was constructed from 50-70 cm of terminal ileum (long pouch group). Pouch volume, post-void residual (PVR) volume, need for catheterization, continence and voiding frequency were evaluated at 3 and 12 months after surgery.
RESULTS: SP group patients had significantly smaller pouch capacity (440 vs 840 mL, P < 0.001) at month 12, and smaller PVR at postoperative months 3 (11 [0-43]vs 40 [0-147] mL, P < 0.001) and 12 (10 [0-90]vs 72 [0-570] mL, P < 0.001). SP group patients had significantly higher voiding frequency on postoperative month 3 (10 vs 9, P < 0.001) and 12 (7 vs 6, P < 0.005). Continence was significantly improved in the SP group compared with the long pouch group after 12 months (63.2% vs 34.1%, respectively, P = 0.034). Full continence improved significantly over time (P < 0.001) in the SP group, from 26.3% at month 3 to 63.2% at month 12.
CONCLUSION: A pouch constructed from 25-35 cm of terminal ileum provides adequate capacity, smaller PVR, satisfactory continence and a better 24-h voiding frequency pattern during the first postoperative year.
Predrag Aleksic; Vladimir Bancevic; Novak Milovic; Branko Kosevic; Dusica M Stamenkovic; Menelaos Karanikolas; Zoran M Campara; Mirko Jovanovic
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-23
Journal Detail:
Title:  International journal of urology : official journal of the Japanese Urological Association     Volume:  17     ISSN:  1442-2042     ISO Abbreviation:  Int. J. Urol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440237     Medline TA:  Int J Urol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  768-73     Citation Subset:  IM    
Urology Clinic, Military Medical Academy, Belgrade, Serbia.
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MeSH Terms
Feasibility Studies
Ileum / transplantation*
Middle Aged
Prospective Studies
Time Factors
Urinary Diversion / methods*
Urinary Reservoirs, Continent* / physiology
Comment In:
Int J Urol. 2010 Sep;17(9):774-5   [PMID:  20727048 ]
Int J Urol. 2010 Sep;17(9):774   [PMID:  20666854 ]

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