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Related Experiment Videos

Experience with a detubularized right colonic segment for bladder replacement.

W Månsson1, S Colleen

  • 1Department of Urology, University Hospital, Lund, Sweden.

Scandinavian Journal of Urology and Nephrology
|January 1, 1990
PubMed
Summary
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This study shows that using a detubularized right colonic segment as a bladder substitute after cystoprostatectomy for bladder cancer results in effective urinary continence and a low-pressure neobladder.

Area of Science:

  • Urology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Bladder cancer necessitates cystoprostatectomy, often requiring bladder reconstruction.
  • Urinary diversion techniques aim to restore bladder function and continence.

Purpose of the Study:

  • To evaluate the efficacy and safety of a detubularized right colonic segment as a neobladder substitute in men undergoing cystoprostatectomy for bladder cancer.

Main Methods:

  • Ten male patients with bladder carcinoma underwent cystoprostatectomy and reconstruction using a detubularized right colonic segment as a neobladder.
  • Postoperative outcomes, including complications, continence, and urodynamic parameters, were assessed.

Main Results:

  • All patients achieved daytime urinary continence with convenient voiding intervals.

Related Experiment Videos

  • Nocturnal continence was maintained with 1-2 voids per night.
  • Urodynamic studies indicated adequate neobladder capacity, minimal residual urine, and low-pressure filling.

    • Conclusions:

    • A detubularized right colonic segment provides a technically simple and effective method for creating a low-pressure, capacious neobladder.
    • This technique facilitates successful urinary reconstruction following cystoprostatectomy for bladder cancer, with good functional outcomes.