Continence in the orthotopic ileal bladder. Personal experience
Morávek, P.; Hafuda, A.; Prosvic, P.; Veselský, Z.
Rozhledy V Chirurgii Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 76(9): 450-453
1997
ISSN/ISBN: 0035-9351 PMID: 9471775 Document Number: 473636
During 1989-1996 the authors selected after radical cystoprostatectomy on account of carcinoma in 43 men continent orthotopic derivation of urine. To create a neovesica the authors used a detubulized loop of the terminal ileum shaped in different modifications. The neovesica was connected with the urethra. After a time interval of 6-12 months they assessed anamnestically the continence and made a complete urodynamic study with uroflowmetry in 25 patients. After a 6-month time interval following operation they observed a significant instability of the neovesica. After 9-12 months all patients had a high-capacity low-pressure pouch. 90% of the patients were satisfied with the state of continence. The percentage of fully continent patients was higher in daytime (80%) than during the night (46%). Incontinence of varying extent (8-10%) was resolved satisfactorily by modern aids for incontinence.