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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.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|February 1, 1991
PubMed
Summary
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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.

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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.