Evaluation of upper and lower urinary tracts after Camey operation

Ten male patients with bladder carcinoma underwent radical cystoprostatectomy and Camey bladder substitution. Six months after surgery 3 of 19 ureters were refluxing in cystography. IVP demonstrated slight dilatation of two and moderate dilatation of one renal unit. The median maximum capacity of the bladder substitutes was 400 ml and the median residual volume was 40 ml. In 7 cases high pressure waves were demonstrated in cystometry. Nine patients had normal continence during day but only three patients during night. In addition three patients were dry during night if they voided frequently but four had varying degrees of enuresis. The results are otherwise satisfactory but the night-time incontinence may be troublesome.