Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Does detubularization improve continence in bladder replacement?

B Lobel1, F Guille, B Cipolla

  • 1Centre Hospitalo-Universitaire Pontchaillou, Rennes, France.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

ALBAN (GETUG-AFU 37): a phase III, randomized, open-label international trial of intravenous atezolizumab and intravesical Bacillus Calmette-Guérin (BCG) versus BCG alone in BCG-naive high-risk, non-muscle-invasive bladder cancer (NMIBC).

Annals of oncology : official journal of the European Society for Medical Oncology·2025
Same author

[De novo or secondary metastatic prostate cancer management in France: Observational study from "sentinel multidisciplinary meeting" of the French Association of Urology].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2022
Same author

[Artificial urinary sphincter in patients with urinary incontinence after High Intensity Focused ultrasound].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2022
Same author

What is the effect of MRI with targeted biopsies on the rate of patients discontinuing active surveillance? A reflection of the use of MRI in the PRIAS study.

Prostate cancer and prostatic diseases·2021
Same author

[Radical prostatectomy for prostate cancer, perioperative management by French urologists in 2018].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2020
Same author

[Safety and feasibility of outpatient flexible ureteroscopy for urinary stones: A retrospective single-center study].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2017
Same journal

Flat magnetic stimulation treatment for urinary incontinence: analysis and six months follow-up of 180 cases.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
Same journal

Management of complex pelvic fracture urethral injury following high-energy trauma in female patients: a case series.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
Same journal

Renal suppurative infections: analysis of a series of 32 cases.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
Same journal

Safety and efficacy of navigable suction-assisted ureteral access sheath for treatment of kidney stones.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
Same journal

Diagnostic performance of PI-RADS and PSA density for detecting clinically significant prostate cancer.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
Same journal

The relationship of prostate cancer diagnosed by magnetic resonance imaging/transrectal ultrasound prostate fusion biopsy with standard and adjusted anogenital distances.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica·2026
See all related articles

Bladder replacement surgery offers good daytime continence but nighttime continence remains a challenge for many patients. Improvements in surgical techniques have only modestly improved nighttime results for neobladder patients.

Area of Science:

  • Urology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • The Camey operation (tubularized ileocystoplasty) was introduced in the 1970s for bladder replacement.
  • Detubularization techniques were developed post-1985 to enhance continence rates.

Purpose of the Study:

  • To review the efficacy of bladder replacement surgery, specifically the Camey operation and its modifications, focusing on urinary continence.
  • To critically evaluate reported continence rates in the literature, particularly for nighttime continence.

Main Methods:

  • Review of 729 Tubularized Ileocystoplasty (Camey operation) cases.
  • Analysis of literature data on daytime and nighttime continence after bladder replacement, including detubularized techniques.

Main Results:

Related Experiment Videos

  • Excellent or acceptable daytime continence achieved in 91% of patients undergoing the Camey operation.
  • Nighttime continence was excellent or acceptable in only 44% of patients, with 56% requiring devices.
  • Detubularization improved nighttime continence rates from 44% to approximately 60%, a less than 20% improvement.
  • Daytime continence rates remained largely unchanged with detubularization.
  • Significant discrepancies exist between reported and actual nighttime continence rates in the literature, often due to non-unanimous evaluation criteria.

Conclusions:

  • Bladder replacement is superior to continent urinary diversion when urethral sphincter function is preserved.
  • While daytime continence is generally good, nighttime continence remains a significant challenge (30-50% of patients) even with improved techniques and large-capacity reservoirs.
  • The literature often overestimates nighttime continence rates; muscle reeducation and artificial sphincters are potential solutions.