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Function of the intestinal substituted bladder

E Koskela, M Kontturi

    Scandinavian Journal of Urology and Nephrology
    |January 1, 1982
    PubMed
    Summary
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    Intestinal cystoplasty effectively restores bladder voiding function after cystectomy in most patients. Sigmoidal bladders can mimic natural bladder sensations, offering a viable solution for normal micturition.

    Area of Science:

    • Urology
    • Reconstructive Surgery

    Background:

    • Bladder cancer and other conditions often necessitate cystectomy, leading to impaired bladder function.
    • Urinary diversion techniques aim to restore bladder function and quality of life.

    Purpose of the Study:

    • To evaluate bladder function after various cystoplasty procedures.
    • To assess the efficacy of intestinal segments in replacing bladder function.

    Main Methods:

    • Synchronous bladder pressure-flow-electromyography studies were performed.
    • Fifteen patients underwent total or subtotal cystectomy with sigmoidal, caecal, or ileal cystoplasty.

    Main Results:

    • 14 out of 15 patients reported good or satisfactory micturition.
    • Nocturnal incontinence occurred in 8 patients.

    Related Experiment Videos

  • Bladder-sphincter dyssynergia affected 9 patients, impacting intestinal bladder function.

    • Conclusions:

    • Intestinal cystoplasty is a successful method for restoring normal voiding after cystectomy in selected patients.
    • Sigmoidal cystoplasty can effectively replace bladder motor function and restore a sense of fullness.
    • Despite challenges like incontinence and dyssynergia, cystoplasty offers a good solution for retaining normal voiding pathways.