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Related Experiment Videos

Continent urinary reservoirs.

J N Kulkarni1, H B Tongaonkar, R Ravi

  • 1Genitourinary Service, Tata Memorial Hospital, Parel, Bombay, India.

British Journal of Urology
|May 1, 1992
PubMed
Summary
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This study evaluated 30 continent urinary reservoirs (CURs) after radical cystectomy, finding an 89% success rate for urinary continence. A modified CUR procedure showed reduced operative time and complications compared to the standard approach.

Area of Science:

  • Urology
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Radical cystectomy for bladder cancer necessitates urinary diversion.
  • Continent urinary reservoirs (CURs) offer an alternative to traditional diversions.
  • Evaluating the outcomes of CURs is crucial for patient quality of life.

Purpose of the Study:

  • To report the experience with 30 continent urinary reservoirs (CURs) following radical cystectomy.
  • To compare outcomes between standard and modified CUR procedures.
  • To assess functional results, including continence and upper tract status.

Main Methods:

  • Retrospective review of 30 patients undergoing radical cystectomy with CUR construction.
  • Comparison of standard CUR (n=20) versus modified CUR (n=10) techniques.

Related Experiment Videos

  • Evaluation of operative time, blood loss, postoperative stay, complications, upper tract changes, and continence rates.

    • Main Results:

    • The modified CUR group demonstrated shorter operative times (5.7 vs 6.6 hours), less blood loss (825 vs 900 ml), and shorter hospital stays (21 vs 25 days).
    • Complications (urinary leaks, ileus, burst abdomen, obstruction) occurred in 5 patients, all within the initial standard CUR group.
    • Continence was achieved in 89% of patients after a median follow-up of 24 months, with 3 patients remaining incontinent.

    Conclusions:

    • Continent urinary reservoirs are a viable option after radical cystectomy, achieving high rates of urinary continence.
    • A modified CUR technique appears to offer improved safety and efficiency compared to the standard approach.
    • Careful patient selection and surgical technique are essential for successful CUR outcomes.