Related Experiment Videos
[Functional rectosigmoid neobladder: a new continent urinary diversion].
1Servicio de Urología, Hospital General de Albacete, España.
Archivos Espanoles De Urologia
|November 1, 1992
Summary
This study presents a modified rectosigmoid neobladder technique for continent urinary diversion. The procedure demonstrated good patient acceptance and functional outcomes, preserving renal function.
Area of Science:
- Urology
- Surgical Innovation
- Reconstructive Surgery
Context:
- Continent urinary diversion is crucial for patients undergoing cystectomy.
- Existing ileal conduits can present complications like ureteroileal stenosis.
- Alternative diversion methods are sought to improve patient quality of life.
Purpose:
- To evaluate the efficacy and safety of a modified rectosigmoid neobladder technique.
- To assess functional outcomes, including continence and renal function preservation.
- To explore this technique as an alternative to cutaneous urinary diversion.
Summary:
- Six patients underwent surgery for a functional rectosigmoid neobladder, with four also having total cystectomy.
- Two patients with complicated ileal conduits underwent reoperation with this technique.
- No postoperative deaths occurred; minor complications included paralytic ileus and abscess. Patients achieved daytime and nighttime continence, voiding every 4-6 hours and 1-2 times nocturnally.
- Renal function was preserved, and imaging showed a high-capacity, low-pressure rectosigmoid neobladder with good adaptability.
- Minimal colosigmoid reflux was noted, despite the absence of the original technique's second valve.
Impact:
- The modified rectosigmoid neobladder offers a viable, acceptable alternative for patients refusing or unsuitable for other urinary diversions.
- This technique can improve outcomes for patients with complicated ileal conduits.
- Successful implementation preserves renal function and enhances patient quality of life post-cystectomy.