Neobladder long term follow-up
Joint Authors
Fakhr, I.
Ali, Uzuris Muhammad
al-Shirbini, M.
Salamah, M.
Mustafa, A.
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 25, Issue 1 (31 Mar. 2013), pp.43-49, 7 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2013-03-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Topics
Abstract EN
One of the commonest forms of orthotopic bladder substitution for bladder cancer survivors, used in our institute, is the use of ileocecal segment.
Sometimes, the need for Indiana pouch heterotropic continent diversion arises.
Aim : To compare the long-term effect of orthotopic ileocecal bladder and heterotropic Indiana pouch following radical cystectomy in bladder cancer patients.
Patients and methods: Between January 2008 and December 2011, 91 patients underwent radical cystectomy / anterior pelvic exentration and orthotopic ileocecal bladder reconstruction (61 patients) and Indiana pouch (30 patients), when orthotopic diversion could not be technically or oncologically feasible.
Results : Convalescence was uneventful in most patients.
All minor and major urinary leakage cases, in both diversions groups, where successfully conservatively treated.
Only one patient in the ileocecal group with major urinary leak required re-exploration with successful revision of uretro-colonic anastomosis.
Only one patient in the Indiana pouch group had accidentally discovered sub-centimetric stone, which was simply expelled.
The overall survival proportion of ileocecal group was 100 % compared to 80 % in the Indiana pouch group (p < 0.001).
The disease free survival proportion of ileocecal group was 90.8 % compared to 80 % in the Indiana pouch group (p = 0.076).
Effective comparative daytime and nighttime urinary continence as well as renal function deterioration were not statistically significant between both reconstruction types.
Conclusion : Both ileocecal bladder and Indiana pouch are safe procedures in regard to long-term effects over kidney function following radical cystectomy.
American Psychological Association (APA)
Fakhr, I.& Ali, Uzuris Muhammad& Mustafa, A.& al-Shirbini, M.& Salamah, M.. 2013. Neobladder long term follow-up. Journal of the Egyptian National Cancer Institute،Vol. 25, no. 1, pp.43-49.
https://search.emarefa.net/detail/BIM-319898
Modern Language Association (MLA)
Fakhr, I.…[et al.]. Neobladder long term follow-up. Journal of the Egyptian National Cancer Institute Vol. 25, no. 1 (2013), pp.43-49.
https://search.emarefa.net/detail/BIM-319898
American Medical Association (AMA)
Fakhr, I.& Ali, Uzuris Muhammad& Mustafa, A.& al-Shirbini, M.& Salamah, M.. Neobladder long term follow-up. Journal of the Egyptian National Cancer Institute. 2013. Vol. 25, no. 1, pp.43-49.
https://search.emarefa.net/detail/BIM-319898
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 48-49
Record ID
BIM-319898