Voiding Patterns In Pitcher Pot Ileal Neobladder
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Objectives: A good long term functional outcome of any orthotopic bladder substitution will ultimately decide its utility. Therefore, we analyzed exclusively voiding patterns in patients with Pitcher Pot Ileal Neobladder. Materials and Methods: Fifty male patients treated for invasive urothelial cancer by open radical cystectomy followed by creation of Pitcher Pot Ileal Neobladder, were included in the study. Day and nighttime continence status, voiding frequency and pad usage was evaluated using a detailed patient questionnaire. Ultrasonography and uroflowrate were performed in all patients and cystometrography was done in 17 patients. Results: Out of all 90% of the patients had desire to void and 70% voided with good stream. One year after surgery, continence was reported as good or satisfactory in 96% and 88% patients during the day and night respectively which is maintained over time. No patients required intermittent clean self-catheterization to empty the neobladder. The maximum capacity of the reservoir increased with postoperative follow-up, with a corresponding fall in average vesical pressure. Average volume of the reservoir was 276 cc at the end of 1 year and 290cc at end of 2 years. A mean maximum uroflow rate was 17 cc/sec and 18cc/sec at 1 and 2 years of follow-up respectively. The average residual urine at 1 and 2 years was 27cc and 15 cc respectively. Three patients required revision of ureteroileal anastomoses. Three patients had urethrovesical anastomotic stricture which was cystoscopically dilated and 5 patients had prolapsed neobladder mucosa obstructing the bladder outlet which was resected transurethrally. Overall, 96% of our patients were satisfied with the procedure. Conclusions: Pitcher Pot Ileal Neobladder provides excellent intermediate and long term functional results as an orthotopic ileal neobladder reservoir.
Authors and Affiliations
Vashishtha Saurabh, Rawal Sudhir, Kaul A, Khanna Samir
Keywords
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- EP ID EP537721
- DOI 10.21276/ijmrp.2018.4.2.006
- Views 82
- Downloads 0
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