Desire to Void and Force of Micturition in Patients with Intestinal Neobladders

No AccessJournal of UrologyClinical Urology: Original Article1 Apr 1996Desire to Void and Force of Micturition in Patients with Intestinal Neobladders Mamdouh M. Koraitim, Mohamed A. Atta, and Mohamed K. Foda Mamdouh M. KoraitimMamdouh M. Koraitim , Mohamed A. AttaMohamed A. Atta , and Mohamed K. FodaMohamed K. Foda View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66221-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We attempted to determine how patients with an orthotopic bladder perceive the desire to void and the force achieved to evacuate the bladder. Materials and Methods: A total of 24 men who had undergone post-cystectomy bladder substitution (ileocecal in 12, sigmoid in 6 and ileal in 6) was evaluated subjectively and objectively by pressure-flow study 1 to 3 years postoperatively. Results: Desire to void was felt at the base of the penis or in the perineum by 20 men (83 percent). Abdominal pressure contributed to intra-reservoir pressure by 51 to 54 percent in ileocecal, 20 to 24 percent in sigmoid and 23 to 25 percent in ileal neobladders. Conclusions: Patients perceive the desire to void when drops of urine leak into the proximal urethra from an overfilled neobladder. Urine is evacuated mainly by abdominal straining for ileal neobladders, mainly by contraction for sigmoid neobladders, and by approximately equal contributions of contraction and straining for ileocecal neobladders. References 1 : Functional results of an artificial bladder. Section II. J. Urol.1962; 87: 837. Link, Google Scholar 2 : Bladder substitution: indications and results in 114 operations. J. Urol.1965; 94: 406. Link, Google Scholar 3 : Function of the intestinal substituted bladder. Scand. J. Urol. Nephrol.1982; 16: 129. Google Scholar 4 : Transpubic cystectomy and ileocecal bladder replacement after preoperative radiotherapy for bladder cancer. J. Urol.1986; 135: 470. Link, Google Scholar 5 : Urodynamic and clinical aspects of ileal low pressure bladder substitutes. Brit. J. Urol.1993; 72: 728. Google Scholar 6 : The emptying mechanisms of various ileal loops studied with the X-ray image amplifier. Brit. J. Urol.1956; 28: 402. Google Scholar 7 : Preservation of urosexual functions after radical cystectomy. Urology1992; 39: 117. Google Scholar 8 : Early and late cystometry of detubularized and nondetubularized intestinal neobladders: new observations and physiological correlates. J. Urol.1995; 154: 1700. Link, Google Scholar 9 : The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology. Scand. J. Urol. Nephrol.1988; 114: 5. Google Scholar 10 : On the physiology of micturition. Brain1933; 56: 149. Google Scholar 11 : The component reflexes of micturition in the cat. Brain1941; 64: 239. Google Scholar 12 : Detubularisation in cystoplasty: clinical review. Brit. J. Urol.1991; 67: 303. Google Scholar 13 : Textbook of Medical Physiology, 8th ed.. Philadelphia: W. B. Saunders Co.1991: 757. Google Scholar Department of Urology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByHautmann R (2018) Editorial commentJournal of Urology, VOL. 175, NO. 6, (2160-2161), Online publication date: 1-Jun-2006.D’ORAZIO O, LAMBERT O, VALLATI J, FRANCO F, ROMANO S, de LASA STEWART T and SAENZ C (2018) TOTAL AND IMMEDIATE DAYTIME AND NIGHTTIME CONTINENCE WITH A RIGHT COLONIC NEOBLADDER—WHAT MAKES IT POSSIBLE? AN 11-YEAR FOLLOWUPJournal of Urology, VOL. 174, NO. 5, (1882-1886), Online publication date: 1-Nov-2005.FUJISAWA M, GOTOH A, MIYAZAKI S, NAKAMURA I, HARA I, OKADA H, ARAKAWA S and KAMIDONO S (2018) SIGMOID NEOBLADDER IN WOMEN AFTER RADICAL CYSTECTOMYJournal of Urology, VOL. 163, NO. 5, (1505-1509), Online publication date: 1-May-2000.KORAITIM M, KHALIL M, ALI G and FODA M (2018) MICTURITION AFTER GASTROCYSTOPLASTY AND GASTRIC BLADDER REPLACEMENTJournal of Urology, VOL. 161, NO. 5, (1480-1484), Online publication date: 1-May-1999. Volume 155Issue 4April 1996Page: 1214-1216 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Mamdouh M. Koraitim More articles by this author Mohamed A. Atta More articles by this author Mohamed K. Foda More articles by this author Expand All Advertisement PDF DownloadLoading ...