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[Present status on bladder replacement--colon bladder replacement]
H Yasuno1, S Arakawa, O Matsumoto
1Department of Urology, Kobe University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|December 1, 1991
Summary
Colon bladder replacement offers a successful solution for bladder cancer patients post-cystectomy, demonstrating good continence and low infection rates.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Context:
- Radical cystectomy for bladder cancer necessitates urinary diversion.
- Colon bladder reconstruction is an alternative to traditional urinary diversions.
- Assessing functional outcomes and complication rates is crucial for patient selection.
Purpose:
- To evaluate the efficacy and safety of detubularized right colonic segment for bladder replacement in male patients with bladder cancer.
- To assess urodynamic parameters, continence, and infection rates following colon bladder reconstruction.
Summary:
- Twenty-two male patients underwent bladder replacement with a detubularized right colonic segment after radical cystectomy.
- Postoperative complications occurred in 10 patients, with one requiring reoperation.
- Urodynamic studies in 16 patients revealed low-pressure, high-capacity reservoirs with stable voiding. Overall, 68.8% achieved total continence, with low rates of bacteriuria (5.6%) and pyuria (27.8%).
Impact:
- Colon bladder replacement provides a functional and safe urinary diversion option for selected bladder cancer patients.
- The procedure demonstrates favorable urodynamic profiles and a low incidence of urinary tract infections.
- This technique can improve the quality of life for patients undergoing cystectomy.