Affordable Access

Publisher Website

Supra-ampullar Cystectomy and Ileal Neobladder

Authors
Journal
European Urology
0302-2838
Publisher
Elsevier
Publication Date
Volume
50
Issue
6
Identifiers
DOI: 10.1016/j.eururo.2006.07.049
Keywords
  • Bladder Cancer
  • Cystectomy
  • Impotence
  • Laparoscopy
Disciplines
  • Biology
  • Medicine

Abstract

Abstract Objective This article describes both the open and laparoscopic operative techniques of supra-ampullar cystectomy (SAC). Methods Both open (photographs and drawings) and laparoscopic (attached DVD) SAC are explained step by step. Results Between May 1984 and December 2005, 31 patients with bladder tumour underwent SAC with ileal orthotopic neobladder (2 Camey I, 26 Camey II, and 3 Y). Three patients underwent laparoscopy. Preoperatively, 26 patients had superficial high-risk transitional cell carcinoma (TCC). Median follow-up was 95.0 mo (range: 5–260 mo). The 10-yr cause-specific survival rate was 76.7%. Two patients had local recurrence. Potency was preserved in 28 patients (90.3%); 15 patients (48.3%) also maintained antegrade ejaculation, allowing procreation in 3 cases. In one patient the Camey I neobladder was converted into an ileal conduit (high postvoid residual, recurrent pyelonephritis). None of the remaining patients had daytime incontinence, eight had nightime urinary incontinence, and six performed intermittent self-catheterisation. Conclusion SAC with detubularised ileal orthotopic neobladder allows preservation of sexual function and maintenance of urinary continence in most patients, without compromising oncologic outcome. The key element is the very strict and careful preoperative selection of the patients.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Supra-ampullar cystectomy and ileal neobladder.

on European Urology December 2006

Modified N-shaped ileal neobladder after radical c...

on Urologic Oncology Seminars and... Jan 01, 2011

[Intestinal neobladder fistula after radical cyste...

on Der Urologe. Ausg. A November 2011
More articles like this..