Orthotopic neobladder – an update
Authors:
R. Thurairaja; F. C. Burkhard; U. E. Studer
Published in:
Urol List 2008; 6(3): 5-12
Overview
Authors bring current overview of orthotopic neobladder. They cover indications, surgical technique promising optimal functional results, metabolic consequences, possible complications and their prevention and last but not least impact of results on quality of life, preservation of continence and sexual functions.
Key words:
orthotopic neobladder, surgical technique, functional results, complications, metabolic consequences
Sources
1. Madersbacher S, Möhrle K, Burkhard F, Studer UE. Long-term voiding pattern of patients with ileal orthotopic bladder substitutes. J Urol 2002; 167: 2052–2057.
2. Hautmann RE. Urinary Diversion: ileal conduit to neobladder. J Urol 2003; 169: 834–842.
3. Benson MC, Seaman EK, Olsson CA. The ileal neobladder is associated with a high success and low complication rate. J Urol 1996; 155: 1585–1588.
4. Tizzoni G, Foggi A. Die Wiederherstellung der Harnblase. Centralblatt für Chirurgie 1888; 15: 921–924.
5. Lemoine G. Creation d’une vessie nouvelle par un procede personnel apres cystectomie totale pour cancer. J Urol Med Chir 1913; 4: 367.
6. Couvelaire R. La “petite vessie” des tuberculeux génitourinaires. Essai de classification, place et variants des cystointestinoplasties. J Urol 1950; 56: 381–434.
7. Couvelaire R. Le reservoir ileal de substitution aprčs la cystectomie totale chez l’homme. J Urol 1951; 57: 408–417.
8. Mellinger GT, Suder GL. Ileal reservoir (ureteroileourethral anastomosis). Method of urinary diversion. JAMA 1958; 167: 2183–2186.
9. Goodwin WE, Winter CC, Barker WF. “Cup-patch” technique of ileocystoplasty for bladder enlargement or partial substitution. Surg Gynecol Obstet 1959; 108: 240–244.
10. Ekman H, Jacobsson B, Kock N et al. The functional behaviour of different types of intestinal urinary bladder substitutes. Congr Int Soc Urol London 1964; 2: 213–217.
11. Kessler TM, Burkhard FC, Permenis P et al. Attempted nervesparing surgery and age have a significant effect on urinary continence and erectile function after radical cystoprostatectomy and ileal orthotopic bladder substitution. J Urol 2004; 172: 1323–1327.
12. Hautmann RE, Simon JJ. Ileal neobladder and local recurrence of bladder cancer: patterns of failure and impact on function in men. J Urol 1999; 162: 1963–1966.
13. Turner WH, Danuser H, Moehrle K, Studer UE. The effect of nerve-sparing cystectomy technique on postoperative continence after orthotopic bladder substitution. J Urol 1997; 158: 2118–2122.
14. Kessler TM, Fiona FC, Studer UE. Clinical indications and outcomes with nerve-sparing cystectomy in patients with bladder cancer. Urol Clin N Am 2005; 32: 165–175.
15. Nelson CP, Montie JE, McGuire EJ, Wedemeyer G, Wei JT. Intraoperative nerve stimulation with measurement of urethral sphincter pressure changes during radical retropubic prostatectomy: a feasibility study. J Urol 2003; 169: 2225–2228.
16. Hugonnet CL, Danuser H, Springer JP, Studer UE. Urethral sensitivity and the impact on urinary continence in patients with an ileal bladder substitute after cystectomy. J Urol 2001; 165: 1502–1505.
17. Ottesen B, Fahrenkrug J. Vasoactive intestinal polypeptide and other preprovasoactive intestinal polypeptide-derived peptides in the female and male genital tract: localization, biosynthesis, and functional and clinical significance. Am J Obstet Gynecol 1995; 172: 1615–1631.
18. Hubner WA, Trigo-Rocha F, Plas EG, Tanagho EA. Urethral function after cystectomy: a canine in vivo experiment. Urol Res 1993; 21: 45–48.
19. Strasser H, Ninkovic M, Hess M, Bartsch G, Stenzl A. Anatomic and functional studies of the male and female urethral sphincter. World J Urol 2000; 18: 324–329.
20. Kessler TM, Studer UE, Burkhard FC. Increased proximal urethral sensory threshold after radical pelvic surgery in women. Neurourol Urodyn 2007; 26: 208–212.
21. Dhar NB, Kessler TM, Mills RD, Burkhard F, Studer UE. Nervesparing radical cystectomy and orthotopic bladder replacement in female patients. Eur Urol 2007; 52: 1006–1014.
22. Weil A, Reyes H, Bischoff P, Rottenberg RD, Krauer F. Modification of the urethra: rest and stress profiles after types of surgery for urinary stress incontinence. Br J Obstet Gynaecol 1984; 91: 45–55.
23. Madersbacher S, Mohrle K, Burkhard F, Studer UE. Long-term voiding pattern of patients with ileal orthotopic bladder substitutes. J Urol 2002; 167: 2052–2057.
24. Burkhard FC, Kessler TM, Mills R, Studer UE. Continent urinary diversion. Crit Rev Oncol Hem 2006; 57: 255–264.
25. Nesrallah LJ, Srougi M, Dall’Oglio MF. Orthotopic ileal neobladder: the influence of reservoir volume and configuration on urinary continence and emptying properties. BJU Int 2004; 93: 375–378.
26. Mcguire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 1981; 126: 205–209.
27. Studer UE, Danuser H, Thalmann GN, Springer J, Turner H. Antireflux nipples or afferent tubular segments in 70 patients with ileal low pressure bladder substitutes: long-term results of a prospective, randomized trial. J Urol 1996; 156: 1913–1917.
28. Mann FC, Bollmann JL. A method for making a satisfactory fistula at any level of the gastrointestinal tract. Ann Surg 1931; 93: 794–797.
29. Abol-Enein H, Ghoneim MA. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol 2001; 165: 1427–1432.
30. Hautmann S, Chun KHF, Currlin E, Braun P, Huland H, Juenemann KP. Refluxing chimney versus non refluxing Le Duc uretero-ileal anastomosis for orthotopic ileal neo-bladder: a comparative analysis for patients with bladder cancer. J Urol 2006; 175: 1389–1394.
31. Shaaban AA, Gaballah MA, El-Diasty TA, Ghoneim MA. Urethral controlled bladder substitution. A comparison between the intussuscepted nipple valve and the technique of Le Duc as antireflux procedures. J Urol 1992; 148: 1156–1161.
32. Gschwend JE, Volkmer BG, Liske P, Kleinschmidt K, Hautmann RE. Type of ureteral anastomosis in orthotopic ileal neo-bladders. Impact on the rate of hydronephrosis and renal function. J Urol 2005; 13 (Suppl.): 132.
33. Helal M, Pow-Sang J, Sanford E, Figueroa E, Lockhart J. Direct (non-tunneled) ureterocolonic re-implantation in association with continent reservoirs. J Urol 1993; 150: 835–837.
34. Mills RD, Studer UE. Metabolic consequences of continent urinary diversion. J Urol 1999; 161: 1057– 1066.
35. Pfitzenmaier J, Lotz J, Faldum A, Beringer M, Stein R, Thuroff JW. Metabolic evaluation of 94 patients 5 to 16 years after ileocecal pouch (Mainz pouch I) continent urinary diversion. J Urol 2003; 170: 1884– 1887.
36. Aldini R, Roda A, Festi D et al. Bile acid malabsorption and bile acid diarrhea in intestinal resection. Dig Dis Sci 1982; 27: 495–502.
37. Steiner MS, Morton RA. Nutritional and gastrointestinal complications of the use of bowel segments in the lower urinary tract. Rol Clin North Am 1991; 18: 743–754.
38. Mojaverian P, Chan K, Desai A, John V. Gastrointestinal transit of a solid indigestible capsule as measured by radiotelematry and dual gamma scintigraphy. Pharm Res 1989; 6: 719–724.
39. Studer U, Burkhard F, Schumacher M et al. Twenty years experience with an ileal orthotopic low pressure bladder substitute – lessons to be learned. J Urol 2006; 176: 161–166.
40. Brodner G, Van Aken H, Hertle L et al. Multimodal perioperative management – combining thoracic epidural analgesia, forced mobilization and oral nutrition – reduces hormonal and metabolic stress and improves convalescence after major urologic surgery.
Anesthes Analg 2001; 92: 1594–1600.
41. Hautmann RE, de Petriconi R, Gottfried HW, Kleinschmidt K, Mattes R, Paiss T. The ileal neobladder: complications and functional results in 363 patients after 11 years of follow-up. J Urol 161: 422–427.
42. Stein JP, Dunn MD, Quek ML, Miranda G, Skinner DG. The orthotopic T pouch ileal neobladder: experience with 209 patients. J Urol 2004; 172: 584–587.
43. Colombo R, Bertini R, Salonia A et al. Overall clinical outcomes after nerve and seminal sparing radical cystectomy for the treatment of organ confined bladder cancer. J Urol 2004; 171: 1819–1822.
44. Bhatt A, Nandipat K, Dhar N et al. Neurovascular preservation in orthotopic cystectomy: impact on female sexual function. Urology 2006; 67: 742–745.
Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2008 Issue 3
Most read in this issue
- Ureteropelvic junction stenosis - antegrade and retrograde endopyelotomy, laparoscopic pyeloplasty. Right indication, pros and cons
- Current scope of ureteroscopy
- Renal calculi burden – percutaneous lithitripsy or retrograde surgery?
- Orthotopic neobladder – an update