[Comparative study of tubulate enterocystoplasty and low pressure bladder. Apropos of 20 cases]

The goal of this presentation is to report the results on morbidity and continence of 20 consecutive patients who, from January 1985 to December 1988, underwent bladder reconstruction after cystectomy for bladder cancer. In ten cases the neo-bladder was a classic ileocystoplasty and in the ten others it was a "low pressure neo-bladder". We compared the two groups although they were not randomized. There was no stadification difference in tumors nor in clinical status. The clinical results were described. There have been four temporary urinary fistulas in the group of low pressure bladder (LPB), and four in the group of classic ileocystoplasty (CI). In the group of LPB, 7 from 8 patients were completely dry day and night and voided every two for three hours while among the 9 patients with CI, 4 were continent day and night.