TY - JOUR
T1 - Orthotopic ileocolic neobladder reconstruction following radical cystectomy
T2 - History, technique and results of the Johns Hopkins experience, 1986-1998
AU - Eisenberger, C. F.
AU - Schoenberg, M.
AU - Fitter, D.
AU - Marshall, F. F.
PY - 1999
Y1 - 1999
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0033005720&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033005720&partnerID=8YFLogxK
U2 - 10.1016/S0094-0143(99)80012-3
DO - 10.1016/S0094-0143(99)80012-3
M3 - Article
C2 - 10086056
AN - SCOPUS:0033005720
SN - 0094-0143
VL - 26
SP - 149
EP - 156
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
IS - 1
ER -