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[Orthotopic replacement of the bladder]
1Dipartimento di Urologia, Università di California, Sacramento, USA.
Chirurgia Italiana
|January 1, 1997
Summary
The Davis technique for bladder cancer offers high patient satisfaction, with most patients remaining dry and content post-surgery. This ileal conduit procedure shows promising results for invasive bladder cancer treatment.
Area of Science:
- Urology
- Surgical Oncology
Context:
- Transitional cell carcinoma (TCC) of the bladder requires advanced surgical intervention.
- Radical cystoprostatectomy and bilateral pelvic lymphadenectomy are standard procedures for invasive bladder cancer.
Purpose:
- To evaluate the efficacy and patient outcomes of the Davis technique for urethro-ileal anastomosis in patients with invasive bladder cancer.
Summary:
- The Davis technique utilizes a 40 cm ileal segment for urethro-ileal anastomosis, forming a Kock pouch.
- Post-operative follow-up at three months showed 95% daytime dryness and 75% nighttime dryness.
- 90% of patients reported high satisfaction, with primary concerns being incontinence and catheterization needs.
Impact:
- The Davis technique demonstrates a high success rate in achieving urinary continence and patient satisfaction after radical cystoprostatectomy.
- This reconstructive method offers a viable option for managing invasive bladder cancer with favorable functional outcomes.