Related Experiment Videos
[Ileal bladder replacement. Hautmann ileal neobladder]
1Urologische klinik und poliklinik, universität Ulm, Prittwitzstr, 42-43, 89075 Ulm, Allemagne. robert.petriconi@urologie.uni-ulm.de
Annales D'Urologie
|June 16, 2004
Summary
The ileal neobladder, an early orthotopic bladder replacement, closely mimics the original organ's function. This technique, refined over time, offers high functional satisfaction for patients.
Area of Science:
- Urology
- Surgical Innovation
- Reconstructive Surgery
Context:
- The ileal neobladder was one of the first orthotopic bladder replacements developed.
- It aimed to closely replicate the configuration and function of the original bladder.
- The technique combines principles of the Kock reservoir with urethral anastomosis.
Purpose:
- To describe the detailed technique of the ileal neobladder procedure.
- To highlight modifications and simplifications made since its initial description.
- To emphasize the functional outcomes and patient satisfaction.
Summary:
- The ileal neobladder, introduced by Hautmann in 1986, is an orthotopic bladder replacement using a detubularized ileal segment.
- It incorporates the Kock reservoir principles and anastomosis to the urethral stump with the native sphincter.
- Modifications, particularly in ureteral implantation, have enhanced the technique over time.
Impact:
- The ileal neobladder provides a high degree of functional satisfaction by closely resembling the native bladder.
- This reconstructive approach offers a viable alternative for bladder cancer patients requiring cystectomy.
- Continued refinement of the technique improves surgical outcomes and patient quality of life.