Functional Assessment of the Hautmann Ileal Neobladder with Chimney Modification Using Uroflowmetry and a Questionnaire
Joint Authors
Lee, Yong Seong
Jung, Ha Bum
Choi, Don Kyoung
Cho, Sung Tae
Kim, Ki Kyung
Lee, Young Goo
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Urinary diversion reconstruction is essential after radical cystectomy and neobladder reconstruction is accepted as a fine option.
This study included 51 patients, who underwent radical cystectomy with orthotopic neobladder reconstruction by a Hautmann ileal neobladder with chimney modification from 2006 to 2014.
Functional outcomes were evaluated using a questionnaire and uroflowmetry.
Perioperative complications were analyzed retrospectively.
The mean follow-up period was 36.1 months.
Eighty-six percent of patients voided without clean intermittent catheterization (CIC) assistance.
CIC was used 1-2x per day or every time they voided in 8% and 6% of patients, respectively, and 71% of patients were continent.
The percentages of patients who used 1, 2, 3-4, and ≥5 pads per day were 15%, 6%, 2%, and 6%, respectively.
Daytime and nighttime continence were achieved in 86% and 69% of patients, respectively.
Daily mucus leakage was reported in 69% of patients.
The mean maximum neobladder capacity, voided volume, postvoid residual volume, and maximum flow rate were 413.2 mL, 370.6 mL, 43.7 mL, and 20.8 mL/s, respectively.
Eighteen early and 5 late complications developed in 13 and 5 patients, respectively.
Reoperations were needed in 7 patients.
The Hautmann ileal neobladder with chimney modification provided satisfactory results regarding functional outcomes.
American Psychological Association (APA)
Lee, Yong Seong& Jung, Ha Bum& Choi, Don Kyoung& Cho, Sung Tae& Kim, Ki Kyung& Lee, Young Goo. 2016. Functional Assessment of the Hautmann Ileal Neobladder with Chimney Modification Using Uroflowmetry and a Questionnaire. BioMed Research International،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099003
Modern Language Association (MLA)
Lee, Yong Seong…[et al.]. Functional Assessment of the Hautmann Ileal Neobladder with Chimney Modification Using Uroflowmetry and a Questionnaire. BioMed Research International No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099003
American Medical Association (AMA)
Lee, Yong Seong& Jung, Ha Bum& Choi, Don Kyoung& Cho, Sung Tae& Kim, Ki Kyung& Lee, Young Goo. Functional Assessment of the Hautmann Ileal Neobladder with Chimney Modification Using Uroflowmetry and a Questionnaire. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099003
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099003