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[Bladder substitution using the double-folded ileum technic (Goodwin's cup-patch technic)]
U E Studer1, G A Casanova, A E Mottaz
1Clinique Urologique, Université de Berne, Hôpital de l'Ile, Suisse.
Summary
Goodwin's cup-patch technique for internal urinary diversion shows good results in 70 male patients after radical cystoprostatectomy. Bladder substitute capacity and urinary continence improve significantly within months post-surgery.
Area of Science:
- Urology
- Surgical Techniques
Context:
- Radical cystoprostatectomy necessitates urinary diversion.
- Internal urinary diversion aims to restore bladder function and improve quality of life.
Purpose:
- To evaluate the efficacy and outcomes of Goodwin's
- cup-patch technique
- for internal urinary diversion in male patients undergoing radical cystoprostatectomy.
Summary:
- This study assessed 70 male patients who underwent internal urinary diversion using an ileal segment configured in Goodwin's "cup-patch technique" after radical cystoprostatectomy.
- The ileal pouch, constructed from 40 cm of ileum, demonstrated an initial functional capacity of 500 ml, which increased post-operatively.
- Urinary continence generally improved within 1-3 months for daytime and 3-6 months for nighttime, although some patients continued to experience minor leakage.
Impact:
- Goodwin's technique offers a viable option for internal urinary diversion, leading to improved bladder capacity and urinary continence.
- The technique's effectiveness in restoring function post-cystoprostatectomy contributes to better patient outcomes and quality of life.