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Titolo:
Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: Experience with 450 patients
Autore:
Abol-Enein, H; Ghoneim, MA;
Indirizzi:
Mansoura Univ, Urol & Nephrol Ctr, Mansoura, Egypt Mansoura Univ Mansoura Egypt Univ, Urol & Nephrol Ctr, Mansoura, Egypt
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 5, volume: 165, anno: 2001,
pagine: 1427 - 1432
SICI:
0022-5347(200105)165:5<1427:FROOIN>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
URETHRAL KOCK POUCH; CONTROLLED BLADDER SUBSTITUTION; URINARY-TRACT RECONSTRUCTION; TERM FOLLOW-UP; URETEROINTESTINAL ANASTOMOSIS; URETEROILEAL IMPLANTATION; ANTIREFLUX TECHNIQUE; CLINICAL-EXPERIENCE; DIVERSION; RESERVOIR;
Keywords:
bladder; urinary diversion; ileum; replantation; ureter;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Abol-Enein, H Mansoura Univ, Urol & Nephrol Ctr, Mansoura, Egypt Mansoura Univ Mansoura Egypt Nephrol Ctr, Mansoura, Egypt
Citazione:
H. Abol-Enein e M.A. Ghoneim, "Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: Experience with 450 patients", J UROL, 165(5), 2001, pp. 1427-1432

Abstract

Purpose: We report functional results of the orthotopic ileal neobladder using a serous-lined extramural tunnel as an antireflux procedure. Material and Methods: One-stage radical cystectomy and orthotopic ileal W-shaped neobladder creation were performed in 353 male and 97 female patients for invasive bladder cancer. The ureters were reimplanted using a serous-lined extramural tunnel for reflux prevention. Of the patients 344 were evaluable at a mean followup plus or minus standard deviation of 38 +/- 25 months. Evaluation included clinical and radiographic studies to determine functional and oncological outcomes,Results: Four patients (0.8%) died in the hospital, Early complications in42 patients (9%) were treated conservatively but 3 women underwent vaginalrepair of a pouch-vaginal fistula. During the observation period there were 90 oncological failures, of which 3 were isolated urethral recurrence, Late complications included pouch stones in 10 cases, outflow obstruction in 11, mucous retention in 2, adhesive bowel obstruction in 3 and hypercontinence in 9 females. The incidence of daytime and nighttime continence was 93.3% and 80%, respectively. The upper tracts remain unchanged or improved in 96.2% of the reimplanted renal units, while reflux was observed in 3%. Conclusions: The serous-lined extramural tunnel has proved its efficiency and durability as an antireflux technique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 15:55:20