Metabolic consequences of orthotopic ileal neobladder

Orthotopic ileal bladder substitution is a well accepted form of urinary diversion providing high quality of life. However, potential metabolic consequences remain a serious problem. These complications are discussed in the present article.

Authors review the metabolic complications of 45 orthotopic ileal neobladder cases.

Insufficient absorption (malabsorption) associated with ileal resection is quite rare, while hyperchloremic metabolic acidosis after ileal neobladder is a rather common phenomenon (55%).

Authors suggest careful patient selection, correct operative technique and vigilant follow-up for successful treatment of metabolic complications.