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Vescica Ileale Padovana: a technique for total bladder replacement
F Pagano1, W Artibani, P Ligato
1Istituto di Urologia, Università di Padava, Italia.
European Urology
|January 1, 1990
Summary
A novel technique for ileal total bladder replacement, the Vescica Ileale Padovana, shows promising results in bladder cancer patients. This method offers good continence and high reservoir capacity with a low complication rate.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Radical cystectomy for bladder cancer necessitates bladder reconstruction.
- Traditional methods can have limitations in function and complications.
- Need for improved techniques in ileal neobladder construction.
Purpose of the Study:
- To describe and evaluate a new technique for detubularized and reshaped ileal total bladder replacement.
- To assess the clinical, radiological, and urodynamic outcomes of the 'Vescica Ileale Padovana' technique.
Main Methods:
- The 'Vescica Ileale Padovana' technique was applied to 16 patients undergoing radical cystectomy.
- Patients were evaluated clinically, radiologically, and urodynamically.
- Follow-up ranged from 4 to 18 months (mean 10 months).
Main Results:
- Low complication rate: 1 ureteroileal stenosis, 2 urethroileal strictures.
- Excellent daytime continence in 87% (14/16) and nighttime continence in 81% (13/16) of patients.
- High reservoir capacity (400-650 ml) with low-pressure dynamics and absence of reflux.
Conclusions:
- The 'Vescica Ileale Padovana' technique is a safe and effective method for total bladder replacement after cystectomy.
- The technique provides favorable functional outcomes, including good continence and reservoir characteristics.
- Further studies are warranted to confirm long-term efficacy and compare with other neobladder techniques.