|
KMID : 0358320070480010012
|
|
Korean Journal of Urology
2007 Volume.48 No. 1 p.12 ~ p.17
|
|
|
Voiding Pattern and Incontinence after Orthotopic Ileal Neobladder in Male Patients
|
|
Nam Jung-Su
Cho Sung-Tae
Lee Young-Goo
|
|
|
Abstract
|
|
|
Purpose: To report the voiding pattern and continence stati in male patients having undergone a radical cystectomy and orthotopic bladder substitution.
Materials & Methods: Between March 2000 and June 2005, 20 men with advanced bladder cancer had a radical cystoprostatectomy and urinary diversion via an ileal orthotopic bladder substitution. The voiding pattern and continence stati were assessed using patient interviews, frequency- volume charts and pad tests at 1, 3, 6, 9 and 12 months after catheter removal.
Results: The mean age and follow-up were 60.5 years(41-72) and 34.1 months (12-69), respectively. Neobladder substitution was performed with an ileum in all patients. 17 patients had reconstruction with a Studer neobladder and 3 with a W-pouch Hautmann. All patients had transitional cell carcinoma(TCC) and their tumor stages ranged from T1G3 to T4aN1M0. The frequency of voiding ranged from 4 to 12 times during the day, and 0 to 5 times during the night, with a mean maximum neobladder capacity of 336ml(200-620) and maximum flow rate of 24.6ml/sec(12-46) 12 months after removal of the catheter. No patient required intermittent self-catheterization. All-time continence rates were 15, 30, 65 and 85%, and all-time incontinence rates were 55, 25, 10 and 5% at 1, 3, 6 and 9 months after catheter removal, respectively.
Conclusion: Orthotopic bladder substitution has an excellent functional outcome over time, resulting in high daytime and nighttime continence rates within 9 months of catheter removal.(Korean J Urol 2007;48:12-17)
|
|
|
KEYWORD
|
|
|
Bladder neoplasms, Urinary incontinence, Urinary reservoirs, continent
|
|
|
FullTexts / Linksout information
|
|
  
|
|
|
Listed journal information
|
|
  
|
|