Experience with the orthotopic ileal neobladder in women: a mid-term follow-up
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/28264 http://dx.doi.org/10.1111/j.1464-410X.2005.05463.x |
Resumo: | OBJECTIVETo report our experience with orthotopic bladder reconstruction in women, as currently the ileal orthotopic neobladder is the diversion of choice for women requiring a bladder substitute at our institution.PATIENTS and METHODSFrom February 1995 to March 2001, 29 women with muscle-invasive bladder carcinoma underwent a nerve-sparing radical cystectomy and had an orthotopic ileal neobladder reconstructed. the outcome was evaluated at 2 and 6 months and then yearly, by a clinical history, physical examination, voiding diary, stress test and estimate of functional neobladder capacity.RESULTSAll patients were followed for at least 14 months (mean 27.5); there were no major complications related to the surgery. the mean (range) neobladder capacity 2 months after surgery was 250 (190-320) mL; at 6 months it increased, remaining stable for the remaining follow-up, at 450 (350-700) mL. Four patients (14%) had nocturnal incontinence and one stress urinary incontinence, associated with using three pads per day. Three patients (10%) required catheterization for a postvoid urinary residual of > 100 mL. of the 29 patients, seven died with metastatic disease and three from causes unrelated to the reservoir or bladder cancer. Currently, 19 patients (65%) are alive and disease-free, with a mean follow-up of 35 months.CONCLUSIONOrthotopic neobladder reconstruction in women, using 40 cm of ileum, is safe and gives high continence and low urinary retention rates. Therefore, it should be advised as the first option in women with good renal function and a tumour-free bladder neck. |
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Nesrallah, Luciano João [UNIFESP]Almeida, Fernando Gonçalves [UNIFESP]Dall'Oglio, Marcos Francisco [UNIFESP]Nesrallah, Adriano João [UNIFESP]Srougi, Miguel [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Beneficent Portuguese Hosp2016-01-24T12:37:49Z2016-01-24T12:37:49Z2005-05-01Bju International. Oxford: Blackwell Publishing Ltd, v. 95, n. 7, p. 1045-1047, 2005.1464-4096http://repositorio.unifesp.br/handle/11600/28264http://dx.doi.org/10.1111/j.1464-410X.2005.05463.x10.1111/j.1464-410X.2005.05463.xWOS:000228397500028OBJECTIVETo report our experience with orthotopic bladder reconstruction in women, as currently the ileal orthotopic neobladder is the diversion of choice for women requiring a bladder substitute at our institution.PATIENTS and METHODSFrom February 1995 to March 2001, 29 women with muscle-invasive bladder carcinoma underwent a nerve-sparing radical cystectomy and had an orthotopic ileal neobladder reconstructed. the outcome was evaluated at 2 and 6 months and then yearly, by a clinical history, physical examination, voiding diary, stress test and estimate of functional neobladder capacity.RESULTSAll patients were followed for at least 14 months (mean 27.5); there were no major complications related to the surgery. the mean (range) neobladder capacity 2 months after surgery was 250 (190-320) mL; at 6 months it increased, remaining stable for the remaining follow-up, at 450 (350-700) mL. Four patients (14%) had nocturnal incontinence and one stress urinary incontinence, associated with using three pads per day. Three patients (10%) required catheterization for a postvoid urinary residual of > 100 mL. of the 29 patients, seven died with metastatic disease and three from causes unrelated to the reservoir or bladder cancer. Currently, 19 patients (65%) are alive and disease-free, with a mean follow-up of 35 months.CONCLUSIONOrthotopic neobladder reconstruction in women, using 40 cm of ileum, is safe and gives high continence and low urinary retention rates. Therefore, it should be advised as the first option in women with good renal function and a tumour-free bladder neck.Universidade Federal de São Paulo, EPM, Dept Urol, São Paulo, BrazilBeneficent Portuguese Hosp, São Paulo, BrazilUniversidade Federal de São Paulo, EPM, Dept Urol, São Paulo, BrazilWeb of Science1045-1047engBlackwell Publishing LtdBju Internationalbladdercystectomyurinary diversioncontinentwomenExperience with the orthotopic ileal neobladder in women: a mid-term follow-upinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/282642022-06-02 09:20:54.727metadata only accessoai:repositorio.unifesp.br:11600/28264Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:15:15.010828Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
title |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
spellingShingle |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up Nesrallah, Luciano João [UNIFESP] bladder cystectomy urinary diversion continent women |
title_short |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
title_full |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
title_fullStr |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
title_full_unstemmed |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
title_sort |
Experience with the orthotopic ileal neobladder in women: a mid-term follow-up |
author |
Nesrallah, Luciano João [UNIFESP] |
author_facet |
Nesrallah, Luciano João [UNIFESP] Almeida, Fernando Gonçalves [UNIFESP] Dall'Oglio, Marcos Francisco [UNIFESP] Nesrallah, Adriano João [UNIFESP] Srougi, Miguel [UNIFESP] |
author_role |
author |
author2 |
Almeida, Fernando Gonçalves [UNIFESP] Dall'Oglio, Marcos Francisco [UNIFESP] Nesrallah, Adriano João [UNIFESP] Srougi, Miguel [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Beneficent Portuguese Hosp |
dc.contributor.author.fl_str_mv |
Nesrallah, Luciano João [UNIFESP] Almeida, Fernando Gonçalves [UNIFESP] Dall'Oglio, Marcos Francisco [UNIFESP] Nesrallah, Adriano João [UNIFESP] Srougi, Miguel [UNIFESP] |
dc.subject.eng.fl_str_mv |
bladder cystectomy urinary diversion continent women |
topic |
bladder cystectomy urinary diversion continent women |
description |
OBJECTIVETo report our experience with orthotopic bladder reconstruction in women, as currently the ileal orthotopic neobladder is the diversion of choice for women requiring a bladder substitute at our institution.PATIENTS and METHODSFrom February 1995 to March 2001, 29 women with muscle-invasive bladder carcinoma underwent a nerve-sparing radical cystectomy and had an orthotopic ileal neobladder reconstructed. the outcome was evaluated at 2 and 6 months and then yearly, by a clinical history, physical examination, voiding diary, stress test and estimate of functional neobladder capacity.RESULTSAll patients were followed for at least 14 months (mean 27.5); there were no major complications related to the surgery. the mean (range) neobladder capacity 2 months after surgery was 250 (190-320) mL; at 6 months it increased, remaining stable for the remaining follow-up, at 450 (350-700) mL. Four patients (14%) had nocturnal incontinence and one stress urinary incontinence, associated with using three pads per day. Three patients (10%) required catheterization for a postvoid urinary residual of > 100 mL. of the 29 patients, seven died with metastatic disease and three from causes unrelated to the reservoir or bladder cancer. Currently, 19 patients (65%) are alive and disease-free, with a mean follow-up of 35 months.CONCLUSIONOrthotopic neobladder reconstruction in women, using 40 cm of ileum, is safe and gives high continence and low urinary retention rates. Therefore, it should be advised as the first option in women with good renal function and a tumour-free bladder neck. |
publishDate |
2005 |
dc.date.issued.fl_str_mv |
2005-05-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T12:37:49Z |
dc.date.available.fl_str_mv |
2016-01-24T12:37:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Bju International. Oxford: Blackwell Publishing Ltd, v. 95, n. 7, p. 1045-1047, 2005. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/28264 http://dx.doi.org/10.1111/j.1464-410X.2005.05463.x |
dc.identifier.issn.none.fl_str_mv |
1464-4096 |
dc.identifier.doi.none.fl_str_mv |
10.1111/j.1464-410X.2005.05463.x |
dc.identifier.wos.none.fl_str_mv |
WOS:000228397500028 |
identifier_str_mv |
Bju International. Oxford: Blackwell Publishing Ltd, v. 95, n. 7, p. 1045-1047, 2005. 1464-4096 10.1111/j.1464-410X.2005.05463.x WOS:000228397500028 |
url |
http://repositorio.unifesp.br/handle/11600/28264 http://dx.doi.org/10.1111/j.1464-410X.2005.05463.x |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Bju International |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1045-1047 |
dc.publisher.none.fl_str_mv |
Blackwell Publishing Ltd |
publisher.none.fl_str_mv |
Blackwell Publishing Ltd |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
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1783460268145115136 |