Short ileal segment for orthotopic neobladder: A feasibility study.

16:43 EDT 4th July 2015 | BioPortfolio

Summary of "Short ileal segment for orthotopic neobladder: A feasibility study."

Objectives: The objective of this study was to present the construction of a neobladder with a modified pouch technique using 25-35 cm of terminal ileum. Methods: Thirty-eight patients whose pouch was constructed from 25-35 cm of terminal ileum (short pouch [SP] group) were prospectively evaluated vs 41 patients whose pouch was constructed from 50-70 cm of terminal ileum (long pouch group). Pouch volume, post-void residual (PVR) volume, need for catheterization, continence and voiding frequency were evaluated at 3 and 12 months after surgery. Results: SP group patients had significantly smaller pouch capacity (440 vs 840 mL, P < 0.001) at month 12, and smaller PVR at postoperative months 3 (11 [0-43]vs 40 [0-147] mL, P < 0.001) and 12 (10 [0-90]vs 72 [0-570] mL, P < 0.001). SP group patients had significantly higher voiding frequency on postoperative month 3 (10 vs 9, P < 0.001) and 12 (7 vs 6, P < 0.005). Continence was significantly improved in the SP group compared with the long pouch group after 12 months (63.2% vs 34.1%, respectively, P = 0.034). Full continence improved significantly over time (P < 0.001) in the SP group, from 26.3% at month 3 to 63.2% at month 12. Conclusion: A pouch constructed from 25-35 cm of terminal ileum provides adequate capacity, smaller PVR, satisfactory continence and a better 24-h voiding frequency pattern during the first postoperative year.

Affiliation

Urology Clinic, Military Medical Academy, Belgrade, Serbia.

Journal Details

This article was published in the following journal.

Name: International journal of urology : official journal of the Japanese Urological Association
ISSN: 1442-2042
Pages:

Links

PubMed Articles [21901 Associated PubMed Articles listed on BioPortfolio]

An unrecognised case of metabolic acidosis following neobladder augmentation cystoplasty.

We present a case where there was a delay in the diagnosis of severe metabolic acidosis in a patient with an orthotopic neobladder. There are a growing number of patients with orthotopic neobladders a...

Urethral recurrence in women with orthotopic bladder substitutes: A multi-institutional study.

To evaluate risk factors for urethral recurrence (UR) in women with neobladder.

The feasibility of ureteral tissue engineering using autologous veins: an orthotopic animal model with long term results.

In an earlier study we demonstrated the feasibility to create tissue engineered venous scaffolds in vitro and in vivo. In this study we investigated the use of tissue engineered constructs for uretera...

Short-term and long-term effects of Nordic Walking training on balance, functional mobility, muscle strength and aerobic endurance among Hungarian community-living older people: a feasibility study.

The aim of this study was to investigate the short--term and long--term effects of a moderate intensity Nordic Walking program, and the feasibility of this exercise form among Hungarian community--liv...

8A.03: CONTINUOUS MONITORING OF HEMODYNAMICS IN THE SHORT ARM HUMAN CENTRIFUGE: A FEASIBILITY STUDY.

The aim was to test the technical feasibility of a set up combining tonometry and ultrasound, designated as Continuous Physiological and Medical Monitoring (CPMM), for cardiovascular assessment on hum...

Clinical Trials [2345 Associated Clinical Trials listed on BioPortfolio]

A Comparison of the Studer Pouch Versus the T-Pouch Orthotopic Neobladder Urinary Diversion in Bladder Cancer Patients

This is a prospective, randomized study of two types of continent ileal neobladder construction in patients undergoing cystectomy for primary bladder cancer. Patients will be randomly assi...

Sleeve Gastrectomy With Ileal Switch for Diabetes Control

Ileal interposition shifts a segment of ileum proximally to achieve maximal meal stimulated GLP-1 secretion and coupled with a restrictive procedure of sleeve gastrectomy helps in achievin...

Clinical Approaches to Ileal Pouch Dysfunction

Total proctocolectomy and ileal pouch-anal anastomosis is the surgical treatment of choice for patients with medically refractory ulcerative colitis, ulcerative colitis with dysplasia or c...

Study of the Pharmacokinetics of Mycophenolate Mofetil in Patients Who Have Undergone Orthotopic Liver Transplantation

OBJECTIVES: I. Determine the effects of bile externalization and antibiotic gut sterilization on the pharmacokinetics of mycophenolate mofetil in patients who have undergone orthotopic li...

TCD Detection of Ophthalmic Artery Blood Flow Velocity Prediction Feasibility Study of Intracranial Pressure

Increased intracranial pressure is a cause of disease progression in patients with brain disease, a common cause of poor prognosis. Intracranial pressure monitoring is the observation of t...

Medical and Biotech [MESH] Definitions

Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.

Congenital MEGACOLON resulting from the absence of ganglion cells (aganglionosis) in a distal segment of the LARGE INTESTINE. The aganglionic segment is permanently contracted thus causing dilatation proximal to it. In most cases, the aganglionic segment is within the RECTUM and SIGMOID COLON.

The light sensitive outer portion of a retinal rod or a cone photoreceptor cell. The outer segment contains a stack of disk membranes laden with photoreceptive pigments (RETINAL PIGMENTS). The outer segment is connected to the inner segment by a PHOTORECEPTOR CONNECTING CILIUM.

A segment of the immunoglobulin heavy chains, encoded by the IMMUNOGLOBULIN HEAVY CHAIN GENES in the J segment where, during the maturation of B-LYMPHOCYTES; the gene segment for the variable region upstream is joined to a constant region gene segment downstream. The exact position of joining of the two gene segments is variable and contributes to ANTIBODY DIVERSITY. It is distinguished from the IMMUNOGLOBULIN J CHAINS; a separate polypeptide that serves as a linkage piece in polymeric IGA or IGM.

Pathological development in the ILEUM including the ILEOCECAL VALVE.


Advertisement
 

Relevant Topic

Urology
Latest News Clinical Trials Research Drugs Reports Corporate
Benign Prostatic Hyperplasia (BPH) Erectile Dysfunction Urology Urology is the branch of medicine concerned with the urinary tract and diseases that affect it. Examples include urethritis, urethrostenosis and incontinence. Urology is a su...

Advertisement
 

Searches Linking to this Article