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Related Experiment Videos

Simple cystectomy in patients requiring urinary diversion.

E Z Neulander1, I Rivera, N Eisenbrown

  • 1Division of Urology, University of Florida, Gainesville, Florida, USA.

The Journal of Urology
|September 19, 2000
PubMed
Summary

Simple cystectomy, a bladder removal procedure, is well-tolerated and effective when performed with urinary diversion. This approach avoids later complications from a retained bladder, offering significant symptom relief.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Urinary diversion is an alternative treatment for various bladder conditions.
  • Retained nonfunctional bladders after diversion can lead to significant complications.
  • Complications include pyocystis, hematuria, and pelvic pain, sometimes necessitating cystectomy.

Purpose of the Study:

  • To describe a technique for simple cystectomy (bladder removal) performed with urinary diversion.
  • To evaluate the safety and efficacy of simple cystectomy in patients with debilitating bladder conditions.
  • To assess the benefits of avoiding complications associated with retained bladders post-diversion.

Main Methods:

  • Simple cystectomy and urinary diversion (ileal conduit or continent) were performed in 19 patients (12 female, 7 male) with severe bladder symptoms.

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  • Patients had failed conservative treatments, with an average of 5 prior procedures.
  • Simple cystectomy was performed concomitantly with diversion in 13 cases and separately in 6.

    • Main Results:

    • Mean follow-up was 15 months with no surgical mortality.
    • Simple cystectomy had a mean operative time of 30 minutes and blood loss of 300 cc.
    • All patients experienced dramatic symptom alleviation with no morbidity directly linked to the simple cystectomy.

    Conclusions:

    • Simple cystectomy is a well-tolerated procedure that should be considered during urinary diversion.
    • Performing simple cystectomy concurrently with diversion prevents later complications of the retained bladder.
    • The technique is not technically demanding and is feasible even after pelvic radiation.