ISSN: 2168-9857
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Department of Surgical Oncology, University of Cancer Institute, Cairo, Egypt
Research Article
Reconsideration of Ileocoecal Pouch as a Neobladder Post Cystectomy with Proximal Urethra Sparing: Extended Evaluation of Continence and Morbidity in 97 Patients
Author(s): Omaya A H. Nassar*
Purpose: To reconsider safety and functional sufficiency of ileocoecal pouch (IC) as a neobladder post urethral
sparing cystectomy (USC) in a prolonged series. Secondary aim is male to female voiding control.
Materials and methods: From 2000-2016, 97 participants (36 females) with bladder and uterine cervix cancer
underwent cystectomy/anterior pelvic resection. Entirely open IC was used with modifications to add urethral
length. Continence progress and morbidity were evaluated over 68 month (m). Pad-free candidate in-between
voiding times beside candidates’ satisfaction were a real continence.
Results: Male total 24-hour control was (36, 59, 73 70%) after 6, 12 and 24 month and 5-years respectively. Ladies
continence was (0, 12.5, 33 and 30%) for the similar time. Stress incontinence was 84% (gra.. View More»
DOI:
10.35248/2168-9857.23.12.323