authors
-
Zbigniew Wolski, Jerzy Siekiera, Andrzej Szymański
- Katedra i Klinika Urologii Akademii Medycznej w Bydgoszczy
Kierownik: prof. Akademii Medycznej dr hab. med. Zbigniew Wolski
keywords
-
bladder carcinoma ileal neobladder women
summary
- Objective. We report first, own experiences with ileal orthotopic bladder
- in women.
- Material and method. Since September 1995 to September 1996 10 women
- 44 to 73 years old have undergone radical nerve and urethral sparing
- cystectomy and bladder substitution by Studer ileal bladder. Indications for
- cystectomy was transitional cell carcinoma pTMaN0-2M0G2-3. After cystectomy
- partialy resected anterior vaginal wall was specially duplicated (our
- modification).
- Results. The longest follow up is 16 months. 8 women are alive with out
- evidence of disease and void per urethra without residual volume. 6 patients
- achieved day and night continence. Pouche volume is from 280 to 400 cc,
- reservoir pressure of 8 to 13 cc water. All patients accepted this method of
- urinary reconstruction.
- Conclusion. We believe that orthotopic ileal bladder will be the procedure
- of choice in selected female like in male patients.
references
- [1] Bejany, D., Politano, V.: lleocolic neobladder in the women with interstitial cystitis
- and smali contracted bladder. T. Urol., 1995,153,42-43.
- [2] Borkowski, A.: Rozwój aktualnych koncepcji na temat definitywnego odprowadza-
- nia moczu. Urol. Pol., 1990,43, 3,137-152.
- [3] Canorini, A., de Carli, P, Fattahi, H., Pompec, V., Cantiani, R., von Heland,
- M: Orthotopic ileal neobladder in female patients after radical cystectomy: 2-year
- experience. I. Urol., 1995,153, 956-958.
- [4] Canorini, A., de Carli Pompeo, V., Fattahi, H., Lamanna, L., Cusumano, G.,
- Cantiani, R., Mainiero, G., v. Holand, M.: Lower urinary tract reconstruction
- following cystectomy: experience and results in 96 patients using the orthotopic ileal
- bladder substitution of Studer. Eur. Urol, 1996,29,204-209.
- [5] Corman,)., de Kernion J.: Invasive cancer: bladder salvage and reconstruction.
- Current opinion in urology, 1996, 6, 5, 276-279.
- [6] Hautmann, R., Paiss, T., de Petriconi, R.: The ileal neobladder in women: 5
- years of experience with 18 patients. J. Urol., 1996,155, 76-81.
- [7] Hautmann, R.: Bladder replacement in the female. Urol. Inter., 1996,3,2,14-16.
- [8] Hubner, W., Trigo-Rocha, F., Tanagho, E.: Functional bladder replacement after
- radical cystectomy in the female: experimental innestigation of new concept. Eur.
- Urol., 1993, 23, 400-404.
- [9] Jarolim, L., Babjuk, M., Hanu¶, T., Jansky, M.: 20 orthotopic neobladders in
- females. Eur. Urol. XIIth Congress of EAU, Paris 1996 Sept. 1-4, Abst. 264.
- [10] Ligh, }., Marks, }.: Total bladder replacement in the male and female using the
- ileocolonic segment (Le Bag). Brit. J. Urol, 1990, 65, 467-472.
- [11] Stein, ]., Stenzl, A., Esrig, D., Freeman, ]., Boyd, S., Lieskovsky, G., Cote,
- R., Bennett, O, Colleselli, K., Draxl, H., Janetschek, G., Poisel, S., Bartsch,
- G., Skinner, D.: Lower urirnary tract reconstruction following cystectomy in
- women using the Kock ileal resewoir with bilateral ureteroileal ureterostomy: in-
- itial clinical experience. J. Urol., 1994, 152, 1404-1408.
- [12] Stein, }., Gote, R., Freeman, ]., Esing, D., Elmaijan, D., Groshen, S., Skin-
- ner, E., Boyd, S., Lieskovsky, G., Skinner, D.: Indicatior for lower urinary
- tract reconstruction in women after cystectomy for bladder cancer: a pathological
- review of female cystectomy specimens. J. Urol., 1995, 154, 1329-1333.
- [13] Stenzl, A., Drax, H., Posch, B., Colleselli, K., Flank, M, Bartsch, G.: The
- risk of urethral tumors in female bladder cancer: can the urethra be used for ortho-
- topic reconstruction of the lower urinary tract? J. Urol., 1995, 153, 950-955.
- [14] Stenzl, A., Colleselli, K., Poisel, S., Feichtinger, H., Pontasch, H., Bartsch,
- G.: Rationale and techni±ue ofnewe sparing radical cystectomy before an orthoto-
- pic neobladder procedure in women. J. Urol., 1995, 154, 2044-2049.
- [15] De La Taille, A., Delmas V., Boccon-Gibod, L.: Anatomical basis of urethral
- presewation during cystectomy in women with bladder substitution. Eur. Urol.
- XII th Congress of EAU, Paris, 1996 Sept. 1-4, Abstr. 261.
- [16] Wolski, Z., Siekiera, J., Wronczewski, A.: Tunctional orthotopic ileal bladder
- following radical cystectomy in women. Eur. Urol. XII"1 Congress of EAU, Paris,
- 1996 Sept. 1-4, Abst. 265.
|