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Update on the Camey II procedure

P H Barre1, J M Herve, H Botto

  • 1Hôpital Foch, Paris, France.

World Journal of Urology
|January 1, 1996
PubMed
Summary
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The Camey II ileocystoplasty significantly improved neobladder capacity and nighttime urinary control in patients undergoing radical cystectomy. This detubularized technique offers better outcomes compared to the earlier Camey I method.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Radical cystectomy necessitates bladder reconstruction.
  • The Camey I procedure was an earlier method for ileal neobladder creation.

Purpose of the Study:

  • To evaluate the outcomes of the detubularized U-shaped ileocystoplasty (Camey II) technique.
  • To compare the efficacy of Camey II with the Camey I operation.

Main Methods:

  • Retrospective review of 110 patients undergoing Camey II ileocystoplasty between 1987 and 1991.
  • Comparison of functional outcomes (capacity, urinary control) with historical Camey I data.

Main Results:

  • The Camey II operation demonstrated obvious improvements in neobladder capacity.
  • Significant enhancement in nighttime urinary control was observed with the Camey II technique.

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  • Detubularization in Camey II was key to these functional improvements.

    • Conclusions:

    • The detubularized U-shaped ileocystoplasty (Camey II) is an effective method for bladder replacement after radical cystectomy.
    • Camey II offers superior functional results, particularly in neobladder capacity and urinary continence, compared to Camey I.