Neobladder long term follow-up
I Fakhr1, A-M Mohamed, A Moustafa
1Surgical Oncology Department, National Cancer Institute (NCI), Cairo University, Egypt. ibrahimfakhr@gmail.com
Journal of the Egyptian National Cancer Institute
|March 19, 2013
Summary
Orthotopic ileocecal bladder reconstruction and Indiana pouch urinary diversion are safe after radical cystectomy. Both methods preserve kidney function, with ileocecal showing better overall survival.
Area of Science:
- Urology
- Oncology
- Surgical Reconstruction
Background:
- Orthotopic ileocecal bladder substitution is common for bladder cancer survivors.
- Indiana pouch heterotropic continent diversion is an alternative when orthotopic reconstruction is not feasible.
Purpose of the Study:
- To compare the long-term effects of orthotopic ileocecal bladder reconstruction versus heterotropic Indiana pouch urinary diversion following radical cystectomy in bladder cancer patients.
Main Methods:
- A retrospective study of 91 patients undergoing radical cystectomy between January 2008 and December 2011.
- 61 patients received orthotopic ileocecal bladder reconstruction, and 30 received Indiana pouch diversion.
Main Results:
- Both diversions were safely managed, with successful conservative treatment for urinary leakage.
- The ileocecal group demonstrated superior overall survival (100% vs. 80%) and similar disease-free survival compared to the Indiana pouch group.
- No statistically significant differences were observed in daytime/nighttime continence or renal function deterioration between the groups.
Conclusions:
- Both ileocecal bladder reconstruction and Indiana pouch diversion are safe long-term procedures following radical cystectomy.
- These reconstructions effectively preserve renal function in bladder cancer survivors.
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