PTU - Polskie Towarzystwo Urologiczne
list of articles:

Article published in Urologia Polska 1997/50/4.


Zbigniew Wolski, Jerzy Siekiera, Andrzej Szymański
Katedra i Klinika Urologii Akademii Medycznej w Bydgoszczy
Kierownik: prof. Akademii Medycznej dr hab. med. Zbigniew Wolski


bladder carcinoma ileal neobladder women


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
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.


  1. [1] Bejany, D., Politano, V.: lleocolic neobladder in the women with interstitial cystitis
  2. and smali contracted bladder. T. Urol., 1995,153,42-43.
  3. [2] Borkowski, A.: Rozwój aktualnych koncepcji na temat definitywnego odprowadza-
  4. nia moczu. Urol. Pol., 1990,43, 3,137-152.
  5. [3] Canorini, A., de Carli, P, Fattahi, H., Pompec, V., Cantiani, R., von Heland,
  6. M: Orthotopic ileal neobladder in female patients after radical cystectomy: 2-year
  7. experience. I. Urol., 1995,153, 956-958.
  8. [4] Canorini, A., de Carli Pompeo, V., Fattahi, H., Lamanna, L., Cusumano, G.,
  9. Cantiani, R., Mainiero, G., v. Holand, M.: Lower urinary tract reconstruction
  10. following cystectomy: experience and results in 96 patients using the orthotopic ileal
  11. bladder substitution of Studer. Eur. Urol, 1996,29,204-209.
  12. [5] Corman,)., de Kernion J.: Invasive cancer: bladder salvage and reconstruction.
  13. Current opinion in urology, 1996, 6, 5, 276-279.
  14. [6] Hautmann, R., Paiss, T., de Petriconi, R.: The ileal neobladder in women: 5
  15. years of experience with 18 patients. J. Urol., 1996,155, 76-81.
  16. [7] Hautmann, R.: Bladder replacement in the female. Urol. Inter., 1996,3,2,14-16.
  17. [8] Hubner, W., Trigo-Rocha, F., Tanagho, E.: Functional bladder replacement after
  18. radical cystectomy in the female: experimental innestigation of new concept. Eur.
  19. Urol., 1993, 23, 400-404.
  20. [9] Jarolim, L., Babjuk, M., Hanu¶, T., Jansky, M.: 20 orthotopic neobladders in
  21. females. Eur. Urol. XIIth Congress of EAU, Paris 1996 Sept. 1-4, Abst. 264.
  22. [10] Ligh, }., Marks, }.: Total bladder replacement in the male and female using the
  23. ileocolonic segment (Le Bag). Brit. J. Urol, 1990, 65, 467-472.
  24. [11] Stein, ]., Stenzl, A., Esrig, D., Freeman, ]., Boyd, S., Lieskovsky, G., Cote,
  25. R., Bennett, O, Colleselli, K., Draxl, H., Janetschek, G., Poisel, S., Bartsch,
  26. G., Skinner, D.: Lower urirnary tract reconstruction following cystectomy in
  27. women using the Kock ileal resewoir with bilateral ureteroileal ureterostomy: in-
  28. itial clinical experience. J. Urol., 1994, 152, 1404-1408.
  29. [12] Stein, }., Gote, R., Freeman, ]., Esing, D., Elmaijan, D., Groshen, S., Skin-
  30. ner, E., Boyd, S., Lieskovsky, G., Skinner, D.: Indicatior for lower urinary
  31. tract reconstruction in women after cystectomy for bladder cancer: a pathological
  32. review of female cystectomy specimens. J. Urol., 1995, 154, 1329-1333.
  33. [13] Stenzl, A., Drax, H., Posch, B., Colleselli, K., Flank, M, Bartsch, G.: The
  34. risk of urethral tumors in female bladder cancer: can the urethra be used for ortho-
  35. topic reconstruction of the lower urinary tract? J. Urol., 1995, 153, 950-955.
  36. [14] Stenzl, A., Colleselli, K., Poisel, S., Feichtinger, H., Pontasch, H., Bartsch,
  37. G.: Rationale and techni±ue ofnewe sparing radical cystectomy before an orthoto-
  38. pic neobladder procedure in women. J. Urol., 1995, 154, 2044-2049.
  39. [15] De La Taille, A., Delmas V., Boccon-Gibod, L.: Anatomical basis of urethral
  40. presewation during cystectomy in women with bladder substitution. Eur. Urol.
  41. XII th Congress of EAU, Paris, 1996 Sept. 1-4, Abstr. 261.
  42. [16] Wolski, Z., Siekiera, J., Wronczewski, A.: Tunctional orthotopic ileal bladder
  43. following radical cystectomy in women. Eur. Urol. XII"1 Congress of EAU, Paris,
  44. 1996 Sept. 1-4, Abst. 265.