Evaluating Stapler Based Ileal Neobladders in Terms of Function and Patient Satisfaction, An NCI Experience | ||
| The Medical Journal of Cairo University | ||
| Article 70, Volume 86, June, June 2018, Pages 1657-1661 PDF (166.15 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2018.56553 | ||
| Authors | ||
| SHARIF A. ABDEL-KARIM, M.Sc.; ABDALLA M. ELAZAB, M.Sc.; EMAN EL-DESOUKY, Ph.D.; EHAB S. HUSSIEN, M.D.; ABDEL-MAKSOUD MOHAMMAD, M.D.; ISMAIL A. MOURAD, M.D. | ||
| The Departments of Surgery* and Biostatistics**, the National Cancer Institute, Cairo University | ||
| Abstract | ||
| Abstract Aim of the Study: Description of the results of using the stapler based ileal neobladders for reconstruction after radical cystectomy in a subset of patients in the National Cancer Institute of Cairo University in Egypt in terms of functional outcome and patient satisfaction. Patients and Methods: In 2014, A prospective interven-tional study was carried out in the National Cancer Institute involving 29 patients with bladder cancer who met the criteria for neobladder reconstruction after radical cystectomy for whom a modified Y shaped ileal neobladder was created after tumor exanteration aiming at exploring functional outcomes and patient satisfaction rates for a period of one year in such a group of patients compared to other published reconstructive options. Results: The mean value of maximum neobladder capacity was 445ml, the mean pressure at maximum neobladder capacity was 22cm H2O and the mean post-voiding urine residual was about 20ml. By 6 months' post operatively, about 85% of the cases expressed having a good quality of life evidenced by satisfaction about their body image, daily maintenance and general satisfaction. Conclusion: Orthotopic neobladder reconstruction using the Y (Fontana) ileal neobladder can be considered as a simple and practical solution for neobladder reconstruction after radical cystectomy in Egyptian bladder cancer patients. | ||
| Keywords | ||
| Y pouch – Bladder cancer – Clavien Dindo classification | ||
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