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[Camey II type orthotopic bladder replacement and its complications: 10-year experience]
M Montesino Semper1, A Santiago González de Garibay, M Ruiz Ramo
1Servicio de Urología, Hospital Virgen del Camino, Pamplona, Navarra.
Actas Urologicas Espanolas
|May 11, 2001
Summary
Radical cystectomy with Camey II ileal orthotopic neobladder has acceptable functional outcomes but a high complication rate. Lack of standard criteria hinders comparison with other bladder substitution methods.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Context:
- Radical cystectomy is a treatment for bladder cancer.
- Orthotopic neobladder reconstruction is an option for urinary diversion.
- The Camey II technique is one method for neobladder creation.
Purpose:
- To evaluate complications in patients undergoing radical cystectomy with a Camey II ileal orthotopic neobladder.
- To analyze early and late complication rates.
- To assess functional outcomes of neobladder substitution.
Summary:
- A series of 61 radical cystectomies with Camey II neobladder between 1990-1999 was reviewed.
- 35 early complications (8 neobladder-related, 27 non-neobladder) and 39 late complications (38 neobladder-related) were observed.
- Daytime continence was 74.4%, nighttime continence 31.4%.
Impact:
- Orthotopic bladder substitution has a significant complication rate despite acceptable functional results.
- Standardized criteria are needed for comparing different bladder substitution techniques.
- Findings highlight the importance of careful patient selection and management for neobladder surgery.