Orthotopic ileocolic neobladder reconstruction following radical cystectomy: History, technique and results of the Johns Hopkins experience, 1986-1998

C. F. Eisenberger, M. Schoenberg, D. Fitter, F. F. Marshall

Research output: Contribution to journalArticlepeer-review

Abstract

Reconstruction of the lower urinary tract using intestinal segments has become a standard component of the treatment of patients with bladder cancer. A variety of intestinal segments can be successfully used for this purpose. Between 1986 and 1998, the authors have used a composite ileocolic segment for neobladder reconstruction in patients desiring orthotopic reconstruction of the lower urinary tract. The early and late complication rates are 11% and 30%, respectively. Forty-five percent of men are potent postoperatively. Seventy-six percent of patients are continent both day and night. Three percent of our patients experience nocturnal enuresis, and 15% perform clean intermittent catheterization. Bothersome daytime stress urinary incontinence occurs in 3% of patients evaluated for this report. Although no contemporary studies demonstrate the superiority of a particular bowel segment for lower urinary tract reconstruction, the authors' long-term experience with the ileocolic neobladder suggests that this composite segment provides excellent results for lower urinary tract reconstruction after radical cystectomy.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalUrologic Clinics of North America
Volume26
Issue number1
DOIs
StatePublished - Jan 1 1999

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Orthotopic ileocolic neobladder reconstruction following radical cystectomy: History, technique and results of the Johns Hopkins experience, 1986-1998'. Together they form a unique fingerprint.

Cite this