[Mid-long-term follow-up of radical cystectomy with orthotopic ileal neobladder in women patients with bladder carcinoma].

Song Liming, Xing Nianzeng, Niu Yinong, Zhang Junhui, Tian Xiquan, Wang Jianwen

Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.

Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China. Email:

Zhonghua Yi Xue Za Zhi. 2014 Apr 1;94(12):932-4.

OBJECTIVE

To assess the mid-long-term efficacies of orthotopic urinary diversion in women.

METHODS

From February 2003 to August 2012, 28 female patients with bladder cancer underwent radical cystectomy and orthotopic ileal neobladder.Open (n = 18) and laparoscopic (n = 9) procedures were performed.Ileal neobladder included 17 T-pouch and 11 modified Studer pouch reconstruction. The continence status, urodynamics, serum electrolyte and renal function were followed up.

RESULTS

The mean follow-up period was 55 (8-114) months.Excellent continence was achieved during day-time in 82.1%, 92.3% and 90.5% cases at 6, 12 and 24 months postoperatively and in 53.6%, 88.5% and 90.5% cases at night respectively. The mean capacity of pouch was 282 ± 87, 345 ± 72 and 357 ± 75 ml at 6, 12 and 24 months postoperatively respectively. The mean filling pressure of pouch was 10.8 ± 3.2, 6.7 ± 2.6 and 6.2 ± 2.1 cmH₂O postoperatively respectively.One case of neobladder-vaginal fistula was cured by surgical repair. Another case of urethral stenosis responded well after regular dilation for 6 months.Renal function and electrolyte metabolism were stable in all cases. There was no instance of tumor recurrence or metastasis.