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Updated: Jul 25, 2026
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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Continent urinary diversion after radical cystectomy: 3 years' experience
International Urology and Nephrology
|January 1, 1996
Summary
Continent urinary diversion, including ileal neobladder and Mainz pouch II, offers a better quality of life after radical cystectomy. These procedures are recommended as a primary choice for patients requiring urinary diversion.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Radical cystectomy for bladder cancer necessitates urinary diversion.
- Continent urinary diversion aims to improve patient quality of life post-surgery.
Purpose of the Study:
- To evaluate the outcomes of continent urinary diversion techniques.
- To assess the feasibility and complications of orthotopic neobladders and the Mainz pouch II.
Main Methods:
- Performed 27 continent urinary diversions between 1992-1995.
- Included 15 orthotopic diversions (14 ileal neobladders, 1 sigma neobladder) and 12 Mainz pouch II.
- Utilized modified Hautmann and Paquin techniques for ureteral reimplantation.
Main Results:
- Four patient deaths occurred post-operation.
- Tumor progression observed in four patients.
- Complications included ureteral/urethral strictures and varying degrees of incontinence.
Conclusions:
- Continent urinary diversion techniques (neobladder, Mainz pouch II) can provide a better quality of life.
- These methods are considered a primary option following radical cystectomy.
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