NDLI: The 'I-Pouch': Results of a new ileal neobladder technique.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gakis, Georgios Abdelhafez, Mohamed F. Stenzl, Arnulf
Description	Country affiliation: Germany Author Affiliation: Gakis G ( a 1 Department of Urology, University Hospital Tübingen , Tübingen, Germany.); Abdelhafez MF ( a 1 Department of Urology, University Hospital Tübingen , Tübingen, Germany.); Stenzl A ( b 2 Department of Urology, Assiut University Hospital , Assiut, Egypt.)
Abstract	OBJECTIVE: The aim of this study was to investigate perioperative, oncological and functional outcomes of the 'I-Pouch' neobladder. MATERIALS AND METHODS: From 2002 to 2011, 97 patients (72 men, 25 women, median age 65, range 42-84 years) underwent radical cystectomy with I-Pouch neobladder reconstruction. Complications were graded according to the Clavien-Dindo classification. Oncological and functional outcomes were assessed. The median oncological and functional follow-up was 41 months (range 3-107 months) and 18 months (3-111 months), respectively. RESULTS: In the total cohort, the 5 year cancer-specific survival was 67.9%. The major 30 and 90 day complication rates were 14.4% and 17.5%, respectively. Open reimplantation for ureterointestinal stricture was necessary in two (2.1%). Of the 95 functionally evaluable patients postoperatively, 93 urinated spontaneously (97.9%) and two patients (2.1%) required clean intermittent catheterization to empty their neobladder. The median postvoid residual urine volume (PVR) was 0 ml (range 0-200 ml). One patient had postoperative reflux (1%), as evidenced by voiding cystography. The median number of urinary tract infections per year was 0 (range 0-2) and showed no association with increased PVR (p = 0.18). CONCLUSIONS: The perioperative, oncological and functional outcomes of the I-Pouch are comparable to those of other types of ileal neobladder. An advantage of the I-Pouch is that the implantation of the ureters lies on the neobladder floor, which facilitates later instrumentation of the upper tract.
File Format	HTM / HTML
ISSN	21681805
Issue Number	5
Volume Number	49
e-ISSN	21681813
Journal	Scandinavian Journal of Urology
Language	English
Publisher	Taylor & Francis
Publisher Date	2015-01-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Urology Colonic Pouches Cystectomy Methods Urinary Bladder Neoplasms Surgery Urinary Bladder Urinary Diversion Adult Aged Aged, 80 And Over Adverse Effects Female Follow-up Studies Humans Male Middle Aged Postoperative Complications Treatment Outcome Urinary Reservoirs, Continent Urodynamics Journal Article
Content Type	Text
Resource Type	Article
Subject	Urology Nephrology

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