Summary of 10 years' experience with an ileal low-pressure bladder substitute combined with an afferent tubular isoperistaltic segment

摘要: We report on 10 years of experience with an ileal low-pressure bladder substitute combined afferent tubular segment following cystectomy in 100 consecutive men. The median follow-up period was 30 months (range 3–108 months), a 2.5-year minimum survivors. A total 42 patients died, 33 these dying cancer. early complication rate 11%, including 2 deaths due to postoperative sepsis. In all, 14 required reoperation for late complications. reservoir's functional capacity increased 500 ml at 12 and paralleled by improving continence: 92% day (after 1 year) 80% night years). Four ureteric strictures occurred. No coordinated, isolated pressure rise developed the reservoir during voiding, which accomplished pelvic floor relaxation abdominal straining, if necessary. Raised intraabdominal acted equally ureters, preventing reflux voiding. This technique is straightforward, allows radical cancer surgery, protects upper tract. favorable results are comparable those achieved similar techniques, but meticulous essential.