Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | International Braz J Urol (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000501036 |
Resumo: | ABSTRACT Standard radical cystectomy (RC) in women involves removal of the distal ureters, bladder, proximal urethra, uterus, ovaries, and adjacent vagina. Furthermore, pelvic organ-preserving RC to treat selected women has become an accepted technique and may confer better postoperative sexual and urinary functions than standard RC, avoiding complications such as incontinence, prolapse, neobladder-vaginal fistula (NVF), and sexual dysfunction, without compromising oncological outcome. This article reports a different surgical approach: a patient who underwent a cutaneous continent reservoir and neovagina construction using a previous ileal orthotopic neobladder after RC. Patient presented no complications and she has no evidence of recurrent disease and is sexually active, with a satisfactory continent reservoir. This case is the first report of this procedure that was able to treat concomitant dyspareunia caused by short vagina and neobladder-vaginal fistula. In conclusion, standard radical cystectomy with no vaginal preservation can have a negative impact on quality of life. In the present case, we successfully treated neobladder fistula and short vagina by transforming a previous ileal orthotopic neobladder into two parts: a continent reservoir and a neovagina. However, to establish the best approach in such patients, more cases with long-term follow-up are needed. |
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Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladderUrinary Bladder NeoplasmsCystectomyUrinary ReservoirsContinentABSTRACT Standard radical cystectomy (RC) in women involves removal of the distal ureters, bladder, proximal urethra, uterus, ovaries, and adjacent vagina. Furthermore, pelvic organ-preserving RC to treat selected women has become an accepted technique and may confer better postoperative sexual and urinary functions than standard RC, avoiding complications such as incontinence, prolapse, neobladder-vaginal fistula (NVF), and sexual dysfunction, without compromising oncological outcome. This article reports a different surgical approach: a patient who underwent a cutaneous continent reservoir and neovagina construction using a previous ileal orthotopic neobladder after RC. Patient presented no complications and she has no evidence of recurrent disease and is sexually active, with a satisfactory continent reservoir. This case is the first report of this procedure that was able to treat concomitant dyspareunia caused by short vagina and neobladder-vaginal fistula. In conclusion, standard radical cystectomy with no vaginal preservation can have a negative impact on quality of life. In the present case, we successfully treated neobladder fistula and short vagina by transforming a previous ileal orthotopic neobladder into two parts: a continent reservoir and a neovagina. However, to establish the best approach in such patients, more cases with long-term follow-up are needed.Sociedade Brasileira de Urologia2018-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000501036International braz j urol v.44 n.5 2018reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/s1677-5538.ibju.2018.0005info:eu-repo/semantics/openAccessQuispe,Cinthia AlcántaraMachado,Roberto DiasMagnabosco,Wesley JustinoSantos,Alexandre CesarFaria,Eliney Ferreiraeng2018-10-24T00:00:00Zoai:scielo:S1677-55382018000501036Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2018-10-24T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false |
dc.title.none.fl_str_mv |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
title |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
spellingShingle |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder Quispe,Cinthia Alcántara Urinary Bladder Neoplasms Cystectomy Urinary Reservoirs Continent |
title_short |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
title_full |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
title_fullStr |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
title_full_unstemmed |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
title_sort |
Neovagina construction and continent cutaneous urinary reservoir using a previous orthotopic ileal neobladder |
author |
Quispe,Cinthia Alcántara |
author_facet |
Quispe,Cinthia Alcántara Machado,Roberto Dias Magnabosco,Wesley Justino Santos,Alexandre Cesar Faria,Eliney Ferreira |
author_role |
author |
author2 |
Machado,Roberto Dias Magnabosco,Wesley Justino Santos,Alexandre Cesar Faria,Eliney Ferreira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Quispe,Cinthia Alcántara Machado,Roberto Dias Magnabosco,Wesley Justino Santos,Alexandre Cesar Faria,Eliney Ferreira |
dc.subject.por.fl_str_mv |
Urinary Bladder Neoplasms Cystectomy Urinary Reservoirs Continent |
topic |
Urinary Bladder Neoplasms Cystectomy Urinary Reservoirs Continent |
description |
ABSTRACT Standard radical cystectomy (RC) in women involves removal of the distal ureters, bladder, proximal urethra, uterus, ovaries, and adjacent vagina. Furthermore, pelvic organ-preserving RC to treat selected women has become an accepted technique and may confer better postoperative sexual and urinary functions than standard RC, avoiding complications such as incontinence, prolapse, neobladder-vaginal fistula (NVF), and sexual dysfunction, without compromising oncological outcome. This article reports a different surgical approach: a patient who underwent a cutaneous continent reservoir and neovagina construction using a previous ileal orthotopic neobladder after RC. Patient presented no complications and she has no evidence of recurrent disease and is sexually active, with a satisfactory continent reservoir. This case is the first report of this procedure that was able to treat concomitant dyspareunia caused by short vagina and neobladder-vaginal fistula. In conclusion, standard radical cystectomy with no vaginal preservation can have a negative impact on quality of life. In the present case, we successfully treated neobladder fistula and short vagina by transforming a previous ileal orthotopic neobladder into two parts: a continent reservoir and a neovagina. However, to establish the best approach in such patients, more cases with long-term follow-up are needed. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000501036 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000501036 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1677-5538.ibju.2018.0005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
dc.source.none.fl_str_mv |
International braz j urol v.44 n.5 2018 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
instname_str |
Sociedade Brasileira de Urologia (SBU) |
instacron_str |
SBU |
institution |
SBU |
reponame_str |
International Braz J Urol (Online) |
collection |
International Braz J Urol (Online) |
repository.name.fl_str_mv |
International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU) |
repository.mail.fl_str_mv |
||brazjurol@brazjurol.com.br |
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1750318076352528384 |