The Ileal Ureter Neobladder is Associated with a High Success and a Low Complication Rate

No AccessJournal of UrologyClinical Urology: Original Article1 May 1996The Ileal Ureter Neobladder is Associated with a High Success and a Low Complication Rate Mitchell C. Benson, Eric K. Seaman, and Carl A. Olsson Mitchell C. BensonMitchell C. Benson , Eric K. SeamanEric K. Seaman , and Carl A. OlssonCarl A. Olsson View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66134-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Several different methods to construct a bladder substitute after cystectomy have been described. We evaluated our experience with the Studer ileal ureter neobladder during the last 5 years. Materials and Methods: We reviewed retrospectively the results in 32 patients who underwent construction of a slightly modified ileal neobladder from that originally described. Mean followup was 25 months (range 6 to 68). Results: Patients experienced few complications and only 1 required reoperation. Daytime and nighttime continence rates were 94 and 74 percent, respectively. One patient sustained a ureteral stricture resulting in hydronephrosis (1 of 64 renal units). Conclusions: The results reveal the ileal neobladder to be an easily constructed pouch with a low complication rate, and a high success rate in regard to continence and the establishment of adequate capacity at low pressure. Within the study period upper tract preservation was excellent. However, a 10 to 15-year followup is indicated to confirm our initial results. References 1 : Three years' experience with an ileal low pressure bladder substitute. Brit. J. Urol1989; 63: 43. Google Scholar 2 : Die wiederherstellung der harnblase expermentelle untersuchungen. Zentralbl. Chir1886; 15: 921. Google Scholar 3 : 25-Year experience with replacement of the human bladder (Camey procedure). J. Urol1984; 132: 886. Link, Google Scholar 4 : End-to-end ureteroileal anastomosis for ileal conduits. Brit. J. Urol1979; 51: 105. Google Scholar 5 : The functional behaviour of different types of intestinal urinary bladder substitutes. Paris, XIII Cong. Soc. Int.d' Urol1964; 11: 213. Google Scholar 6 : Intra-abdominal “reservoir” in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal “continence” in five ileostomy patients. Arch. Surg1969; 99: 223. Google Scholar 7 : The Mainz pouch (mixed augmentation ileum and cecum) for bladder augmentation and continent diversion. J. Urol1986; 136: 17. Link, Google Scholar 8 : Replacement of the bladder by the urethral Kock pouch: functional results, urodynamics and radiological features. J. Urol1989; 141: 1111. Link, Google Scholar 9 : Complications of the Kock pouch. Urol. Clin. N. Amer1988; 15: 195. Google Scholar Columbia Presbyterian College of Physicians and Surgeons, J. Bentley Squier Urologic Clinic, Columbia University, New York, New York.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTHOENY H, SONNENSCHEIN M, MADERSBACHER S, VOCK P and STUDER U (2018) Is Ileal Orthotopic Bladder Substitution with an Afferent Tubular Segment Detrimental to the Upper Urinary Tract in the Long Term?Journal of Urology, VOL. 168, NO. 5, (2030-2034), Online publication date: 1-Nov-2002.HOLLOWELL C, CHRISTIANO A and STEINBERG G (2018) TECHNIQUE OF HAUTMANN ILEAL NEOBLADDER WITH CHIMNEY MODIFICATION: INTERIM RESULTS IN 50 PATIENTSJournal of Urology, VOL. 163, NO. 1, (47-51), Online publication date: 1-Jan-2000.GBUREK B, LIEBER M and BLUTE M (2018) COMPARISON OF STUDER ILEAL NEOBLADDER AND ILEAL CONDUIT URINARY DIVERSION WITH RESPECT TO PERIOPERATIVE OUTCOME AND LATE COMPLICATIONSJournal of Urology, VOL. 160, NO. 3 Part 1, (721-723), Online publication date: 1-Sep-1998.Studer U, Danuser H, Thalmann G, Springer J and Turner W (2018) Antireflux Nipples or Afferent Tubular Segments in 70 Patients with Ileal Low Pressure Bladder Substitutes: Long-term Results of a Prospective Randomized TrialJournal of Urology, VOL. 156, NO. 6, (1913-1917), Online publication date: 1-Dec-1996. Volume 155Issue 5May 1996Page: 1585-1588 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Mitchell C. Benson More articles by this author Eric K. Seaman More articles by this author Carl A. Olsson More articles by this author Expand All Advertisement PDF downloadLoading ...