Περίληψη:
Objective: To report continence and urodynamic findings after radical cystectomy and urinary diversion with modified S-ileal neobladder between January 1993 and January 2013. Patients and Methods: 181 patients were enrolled. Continence status, reservoir sensation, compliance, capacity and activity were assessed. Results: Daytime continence was reported by 88.0, 98.4 and 99.2%, while nighttime continence was reported by 70.2, 94.0 and 95.8% of our patients at 6 months, 5 years and 20 years, respectively. Enterocystometric capacity and maximum reservoir pressure were 366 vs. 405 ml and 502 ml, and 29 vs. 18 and 11 cm H2O, at 6 months, 5 years and 20 years, respectively. Median post-void residual urine volume was 32 ml at 6 months, 50 ml at 5 years and 120 ml at 20 years. Conclusions: The modified S-ileal neobladder technique has a very good long-lasting functional outcome, with high day- and nighttime continence levels as well as high acceptability rates from our patients. © 2014 S. Karger AG, Basel.
Συγγραφείς:
Dellis, A.E.
Papatsoris, A.G.
Skolarikos, A.A.
Varkarakis, I.M.
Deliveliotis, C.N.
Λέξεις-κλειδιά:
adult; aged; article; bladder capacity; bladder carcinoma; cystectomy; female; human; major clinical study; male; micturition; middle aged; modified S ileal neobladder technique; postoperative period; postvoid residual urine volume; priority journal; surgical technique; transitional cell carcinoma; treatment outcome; urinary diversion; urodynamics; bladder; follow up; ileum; pathology; Postoperative Complications; pressure; procedures; prospective study; Urinary Bladder Neoplasms; urinary diversion; urologic surgery; Article; bladder catheterization; bladder compliance; bladder pressure; disease duration; diurnal enuresis; enterocystometry; modified s ileal neobladder technique; nocturnal enuresis; patient satisfaction; residual urine; urine incontinence, Aged; Cystectomy; Female; Follow-Up Studies; Humans; Ileum; Male; Middle Aged; Postoperative Complications; Pressure; Prospective Studies; Urinary Bladder; Urinary Bladder Neoplasms; Urinary Diversion; Urinary Reservoirs, Continent; Urination; Urodynamics; Urologic Surgical Procedures
