ZHANG Xiao-dong, YIN Hang, ZHANG Ning, ZHANG Yong, YANG Yong
Department of Urology, Beijing Chao Yang Hospital, Capital Medical University, Beijing 100020, China.
Zhonghua Wai Ke Za Zhi. 2008 Oct 15;46(20):1535-8.
To investigate the long-term outcome and related complications in a group of patients underwent Studer neobladder surgery.
From may 2005 to Jan 2008, 25 patients with invasive bladder tumor underwent Studer procedure. Among of them, 20 patients were followed up from 6 to 44 months. Functional bladder capacity, residual urine, peak flow rate and incontinence in 3, 12, 24, 36 months following neobladder were evaluated. Surgical associated complications, death rate were included as well.
There was no significant difference in functional bladder capacity, peak flow rate after the procedure (P > 0.05), but there was significant difference in residual urine (36 ml vs 80 ml, P < 0.01). Hydronephrosis, renal atrophy, urinary infection and hematuria were major complications encountered in this study.
The procedure is safe, and satisfied urinary function is kept in the neobladder. The long-term outcome will be improved with accumulated experiences.