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The 'pitcher pot' ileal neobladder: early experiences
Sudhir Rawal1, Prem Kumar, Rakesh Kaul
1Department of Urooncology, Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085, India. dr_rawal@yahoo.com
Japanese Journal of Clinical Oncology
|September 28, 2006
Summary
This study analyzed a modified Studer ileal neobladder in bladder cancer patients. The new design achieved high daytime continence and manageable complications, offering a promising urinary diversion option.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Background:
- Radical cystoprostatectomy is a treatment for urinary bladder cancer.
- Urinary diversion is necessary after cystoprostatectomy.
- The Studer neobladder is a common type of urinary diversion.
Purpose of the Study:
- To analyze the initial outcomes of a newly designed ileal neobladder.
- This design is a modification of the standard Studer neobladder.
- To evaluate its efficacy in patients with urinary bladder cancer.
Main Methods:
- Twenty-four patients with urinary bladder cancer underwent radical cystoprostatectomy.
- Twenty-one patients received urinary diversion using a modified ileal neobladder.
- The neobladder featured a spherical configuration and ileal neourethra.
Main Results:
- Early and late post-operative complications occurred in 42% and 23% of patients, respectively.
- Most complications were minor and managed conservatively.
- Daytime continence was 100% at 1 year; nocturnal continence was 75% at 1 year.
Conclusions:
- The modified ileal neobladder, with its ileal neourethra, facilitates tensionless anastomosis.
- This technique helps overcome mesentery length limitations.
- The design maintains optimal urodynamic features and supports smooth recovery.
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