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Neobladder construction using completely detubularized sigmoid colon after radical cystoprostatectomy
K K Chen1, L S Chang, M T Chen
1Department of Surgery, Veterans General Hospital-Taipei, Taiwan, Republic of China.
The Journal of Urology
|August 1, 1991
Summary
Completely detubularized sigmoid colon for bladder reconstruction after radical cystoprostatectomy offers good continence and quality of life for invasive bladder cancer patients. This neobladder technique shows promising functional results with minimal complications.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Background:
- Invasive bladder cancer necessitates radical cystoprostatectomy.
- Neobladder reconstruction aims to restore urinary function and improve quality of life.
- Evaluating novel techniques for bladder reconstruction is crucial.
Purpose of the Study:
- To assess the efficacy and safety of using completely detubularized sigmoid colon for neobladder construction.
- To evaluate functional outcomes, including continence and urodynamics.
- To report on oncological and surgical complications.
Main Methods:
- Radical cystoprostatectomy followed by neobladder construction using detubularized sigmoid colon in 6 male patients.
- Postoperative follow-up included cystourethroscopy, urodynamic studies, and uroflowmetry.
- Assessment of urinary continence and quality of life.
Main Results:
- All patients achieved daytime continence; 66.7% achieved nighttime continence.
- Neobladder showed low filling pressures and adequate maximal urethral closure pressure.
- Good uroflow rates and no reflux were observed; one patient developed a neobladder stone.
Conclusions:
- Completely detubularized sigmoid colon is a viable option for neobladder construction.
- The technique provides satisfactory functional outcomes and quality of life.
- Further research may explore long-term oncological safety and complication rates.