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Bladder substitution in women.

R D Mills1, F Burkhard, U E Studer

  • 1University Department of Urology, Inselspital, Bern, Switzerland.

International Urogynecology Journal and Pelvic Floor Dysfunction
|September 27, 2000
PubMed
Summary
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Female orthotopic bladder reconstruction offers excellent urinary function and high patient satisfaction after cystectomy. Careful patient selection and surgical technique are key to preserving quality of life and potentially oncologic outcomes.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Female orthotopic bladder reconstruction is gaining popularity for selected patients undergoing cystectomy.
  • Its long-term role and oncologic safety are still under investigation.

Purpose of the Study:

  • To discuss indications, operative techniques, and outcomes of female bladder substitution.
  • To evaluate functional results, patient satisfaction, and oncologic implications.

Main Methods:

  • Review of current literature and clinical experience with female orthotopic bladder reconstruction.
  • Analysis of patient selection criteria, surgical approaches, and functional outcomes.

Main Results:

  • Excellent voiding and storage function is achievable in selected female patients.

Related Experiment Videos

  • Outcomes are comparable to male patients, with a potential for higher rates of self-catheterization.
  • Oncologic outcomes appear unaffected with careful patient selection and surgical technique.

    • Conclusions:

    • Female orthotopic bladder reconstruction can preserve quality of life following cystectomy.
    • Success depends on a functional external sphincter and clear tumor margins.
    • Further data on urethral recurrence rates are needed.