Eight year experience with Studer ileal neobladder.

Area of Science:

• Urology
• Surgical Oncology
• Reconstructive Surgery

Background:

• Assessing the feasibility of the Studer ileal neobladder for urinary reconstruction after radical cystectomy in elderly patients.
• Evaluating the Studer ileal neobladder as a viable option for patients with advanced age.

Purpose of the Study:

• To evaluate the safety and efficacy of the Studer ileal neobladder in older male patients undergoing radical cystectomy.
• To assess perioperative and late complications, functional outcomes, and continence rates.

Main Methods:

• Retrospective review of 31 male patients (mean age 64) who underwent Studer ileal neobladder reconstruction.
• Evaluation of perioperative/late complications, neobladder capacity, voiding, continence, upper urinary tract status, and renal function.

Main Results:

• No perioperative deaths; complication rates were 22.8% (perioperative) and 3.3% (late).
• High daytime continence (93.5%) and good nighttime continence (29% dry at 6 months, improving over time).
• Satisfactory functional outcomes and preserved renal function and metabolic status up to 3 years post-surgery, even in patients over 70.

Conclusions:

• The Studer ileal neobladder is a safe and satisfactory surgical technique for selected patients, including those over 70.
• This urinary diversion procedure demonstrates good functional outcomes and low morbidity in elderly patients.