[Padua ileal bladder--surgical technique for bladder replacement with continent ileal reservoir]

A new technique for detubularized and originally reshaped ileal total bladder replacement following radical cystectomy for bladder cancer is described. The operative method is named "Padua ileal bladder". For first time it is described by Prof. Pagano et al., from the Institute of Urology, Padua University, Italy. The operative method was performed on a patient with invasive bladder carcinoma. The result was evaluated clinically, radiologically and urodinamically with follow-up from 6 months. The patient had perfect daytime and nighttime continence. The reservoir features were: high capacity of 550 ml, low pressure of 17 cm H2O and 30-50 cm H2O at the micturation. There was no ureteral reflux and we achieved complete emptying of the bladder using abdominal straining and perineal relaxation.