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[Replacement bladder constructed with the aid of a folded ileum segment]
U E Studer1, G A Casanova, A E Mottaz
1Clinique Urologique, Inselspital, Berne.
Acta Urologica Belgica
|January 1, 1991
Summary
This study evaluated Goodwin's "cup-patch technique" for internal urinary diversion after radical cystoprostatectomy in 70 male patients. The technique demonstrated good functional capacity and improved urinary continence over time.
Area of Science:
- Urology
- Surgical Techniques
Context:
- Radical cystoprostatectomy necessitates urinary diversion.
- Internal urinary diversion aims to restore bladder function and improve quality of life.
Purpose:
- To evaluate the efficacy and outcomes of Goodwin's
- cup-patch technique
- for internal urinary diversion in male patients undergoing radical cystoprostatectomy.
Summary:
- Seventy male patients underwent internal urinary diversion using an ileal segment folded into a pouch (Goodwin's "cup-patch technique").
- The bladder substitute's capacity increased to 500 ml within weeks, with functional capacity improving over 6 months to 6 years.
- Urinary continence was achieved within 1-6 months, though some patients continued to use safety pads.
Impact:
- This technique provides a viable option for urinary diversion after radical cystoprostatectomy.
- The study highlights the potential for good functional outcomes and improved continence.
- Findings suggest the technique is effective in restoring bladder function and patient quality of life.