INVERSION OF ORTHOTOPIC INTESTINAL URINARY RESERVOIR TO PREVENT TENSION IN URETHRA-RESERVOIR ANASTOMOSIS AFTER RADICAL CYSTECTOMY
https://doi.org/10.21886/2308-6424-2013-0-3-3-11
Abstract
From 1995 to 2012 radical cystectomy were performed to 326 patients. Orthotopic intestinocistoplastika performed by Studer 69 (18.7%) patients, including short mesostenium was in 48 (69.6%), which are combined into two groups. Group I - 15 (31.3%) patients with orthotopic intestinocistoplasticy by Studer, II group - 33 (68.7%) patients who made modification techniques Studer - inverts orthotopic ileocistoplastics. Cases of leak of the tank or anastomosis were not observed. Medium capacity of neobladder after removal of urethral catheter – 110 ml., in 3 months – 350 ml, in 12 months – 490.0 ml. Maximum pressure in the tank does not exceed 40 cm water column (average 30 cm H2O). Day retention – 94,7%, night confinement at a forced night miction – 79.0%. The proposed method of inverting orthotopic ileal neobladder can be recommended when overlapping of orthotopic urinary reservoir is impossible or associated with leaks of the anastomosis due to the insuf-ficient length of the mesentery using known techniques of orthotopic ileal bladder reconstruction.
About the Authors
V. A. Perepechay
Clinical Hospital №1, South District Medical Center, Federal Biomedical Agency of Russia, Rostov-on-Don
Russian Federation
Russian Federation
M. I. Kogan
Department of Urology and Human Reproductive Health with a Course of Pediatric Urology-Andrology Rostov State Medical University, Rostov-on-Don
Russian Federation
Russian Federation
O. N. Vasilyev
Department of Urology and Human Reproductive Health with a Course of Pediatric Urology-Andrology Rostov State Medical University, Rostov-on-Don
Russian Federation
Russian Federation
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Review
For citations:
Perepechay V.A., Kogan M.I., Vasilyev O.N. INVERSION OF ORTHOTOPIC INTESTINAL URINARY RESERVOIR TO PREVENT TENSION IN URETHRA-RESERVOIR ANASTOMOSIS AFTER RADICAL CYSTECTOMY. Urology Herald. 2013;(3):3-11. (In Russ.) https://doi.org/10.21886/2308-6424-2013-0-3-3-11
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