Fibromyalgia: Update on Mechanisms and Management

No AccessJournal of UrologyAdult Urology: Voiding Dysfunction1 Nov 2005TOTAL AND IMMEDIATE DAYTIME AND NIGHTTIME CONTINENCE WITH A RIGHT COLONIC NEOBLADDER—WHAT MAKES IT POSSIBLE? AN 11-YEAR FOLLOWUP OSVALDO R. D’ORAZIO, OSVALDO L. LAMBERT, JUAN C. VALLATI, FRANCISCO L. FRANCO, SALOMÓN V. ROMANO, TOMÁS A. de LASA STEWART, and CARLOS A. SAENZ OSVALDO R. D’ORAZIOOSVALDO R. D’ORAZIO More articles by this author , OSVALDO L. LAMBERTOSVALDO L. LAMBERT More articles by this author , JUAN C. VALLATIJUAN C. VALLATI More articles by this author , FRANCISCO L. FRANCOFRANCISCO L. FRANCO More articles by this author , SALOMÓN V. ROMANOSALOMÓN V. ROMANO More articles by this author , TOMÁS A. de LASA STEWARTTOMÁS A. de LASA STEWART More articles by this author , and CARLOS A. SAENZCARLOS A. SAENZ More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000177078.38975.58AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report the long-term functional results of the colonic neobladder and provide the physiological and urodynamic foundations for them. Materials and Methods: From March 1993 to February 2004, 38 patients with cystectomy received a neobladder constructed from detubularized, remodeled right colon and intact cecum following our design at the urology service at our institution. Most patients underwent urodynamics and videourodynamics as postoperative followup. We defined total continence as not using any protection whatsoever (neither pads nor a night alarm), which was immediate upon removing the urethral catheter. Results: A total of 37 patients achieved total daytime continence immediately and the remaining 1 was totally continent after 30 days (100%). Nighttime continence was total and immediate in 36 patients (92%) and satisfactory in 2. Micturition was immediate, satisfactory and total in 37 patients with an average maximum flow of more than 26 ml per second. The patient who did not achieve micturition required clean intermittent catheterization. Videourodynamic studies revealed that continence resulted from the low pressure developed in the large capacity reservoir (more than 600 ml) and from intact intestine haustral contractions, which ejected urine toward the detubularized and remodeled area. In turn, micturition was attained through a combination of abdominal wall tension and mass contractions of the nondetubularized segment, which generated a pressure of more than 100 cm. 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Link, Google Scholar From the Department of Surgery, Urology Division, Hospital Dr. José Penna, Bahía Blanca, Argentina© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 174Issue 5November 2005Page: 1882-1886 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsurinary continencebladder neoplasmscolonurinary diversioncystectomyMetricsAuthor Information OSVALDO R. D’ORAZIO More articles by this author OSVALDO L. LAMBERT More articles by this author JUAN C. VALLATI More articles by this author FRANCISCO L. FRANCO More articles by this author SALOMÓN V. ROMANO More articles by this author TOMÁS A. de LASA STEWART More articles by this author CARLOS A. SAENZ More articles by this author Expand All Advertisement PDF downloadLoading ...