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Bladder replacement by ileocystoplasty: the final treatment for interstitial cystitis
T J Christmas1, S A Holmes, W F Hendry
1Charing Cross Hospital, London, UK.
British Journal of Urology
|July 1, 1996
Summary
Ileal pouch bladder replacement offers effective pain relief for interstitial cystitis patients. This surgical technique, using the Kock pouch, provides a viable solution for intractable cases.
Area of Science:
- Urology
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Interstitial cystitis is a chronic condition causing severe bladder pain.
- Refractory cases often require advanced treatment strategies.
Purpose of the Study:
- To refine and evaluate the technique of ileal pouch-anal anastomosis (IPAA) for bladder replacement.
- To assess the efficacy of this procedure in managing interstitial cystitis.
Main Methods:
- 27 patients with refractory interstitial cystitis underwent cystectomy and ileal pouch (Kock pouch) creation.
- Pain relief was the primary outcome measure, assessed over a median follow-up of 30 months.
Main Results:
- Complete pain relief was achieved in all patients.
- The median neobladder capacity was 520 mL, with only four patients needing intermittent self-catheterization.
- Two patients developed bladder calculi, successfully treated with cystoscopy.
Conclusions:
- Ileal pouch bladder replacement, specifically the Kock pouch, is an effective surgical treatment for intractable interstitial cystitis.
- This procedure offers significant pain relief and good functional outcomes.