162 results match your criteria Urinary Diversions and Neobladders


Cognitive Status and Functional Dexterity as Outcome Predictors Following Urinary Diversion: A Combined Retrospective and Prospective Observational Study.

Urol Int 2018 Nov 21:1-9. Epub 2018 Nov 21.

Purpose: The study aimed to evaluate the impact of the validated functional dexterity test and the Mini-Mental Status test on subjective functional outcomes, medical care situation, and health-related quality of life (HRQoL) after urinary diversion (UD).

Patients And Methods: A total of 106 patients (n = 26 ileal conduits, n = 29 neobladders, and n = 51 ileocecal pouches) were included in this combined retrospective (n = 77) and prospective (n = 29) observational study. All patients performed the 2 tests mentioned above and filled out self-designed questionnaires with diversion and HRQoL items. Read More

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http://dx.doi.org/10.1159/000494565DOI Listing
November 2018
10 Reads

Gastric neobladders: surgical outcomes of 91 cases using different techniques.

Int Braz J Urol 2018 Sep-Oct;44(5):914-919

Faculdade de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul - PUC, Porto Alegre, RS, Brasil.

Introduction: We report on the surgical results of a series of 91 patients who received gastric neobladders as urinary diversion after radical cystectomies performed for the treatment of muscle-invasive bladder cancers.

Materials And Methods: We report on a retrospective case series of 91 patients who received gastric neobladders as urinary diversion after radical cystectomies performed for the treatment of muscle-invasive bladder cancers. Different techniques of gastric neobladders were employed from 1988 to 2013 at a university hospital in the South of Brazil. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237526PMC
December 2018
2 Reads

The effects of recreational ketamine cystitis on urinary tract reconstruction - a surgical challenge.

BJU Int 2018 03 11;121(3):458-465. Epub 2018 Jan 11.

Department of Urology, University College London Hospital, London, UK.

Objectives: To identify the rate of postoperative complications in patients who require surgical reconstruction for ketamine-induced urinary tract dysfunction and to identify any predictors for poor postoperative outcome with subsequent management strategies.

Patients And Methods: A retrospective review of data collected between 2007 and 2017 of all patients with ketamine-induced urinary tract disease was performed. Evaluation included computed tomography urogram, cystoscopy, and biopsy. Read More

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http://dx.doi.org/10.1111/bju.14094DOI Listing
March 2018
10 Reads

A Simple Neobladder Using a Porcine Model: The Double Limb U-Pouch.

Urology 2018 Apr 1;114:198-201. Epub 2017 Dec 1.

Oregon Health and Science University, Portland, OR.

Objective: To create a simple neobladder and determine whether the double-limb U-Pouch (D-LUP) has the same capacity and compliance as a Studer or Camey I neobladder. To develop an orthotopic diversion that can be applied to robotic surgery with laboratory data supporting the concept.

Materials And Methods: Kidneys, ureters, bladders, and small intestine were obtained from pigs at the time of scheduled autopsy after completion of institutionally approved investigational trauma protocols. Read More

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http://dx.doi.org/10.1016/j.urology.2017.11.031DOI Listing
April 2018
7 Reads

Male Neobladder.

Urol Clin North Am 2018 Feb;45(1):37-48

Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. Electronic address:

Successful outcome with orthotopic neobladders begins in the preoperative phase with appropriate patient selection and extensive patient counseling. Meticulous attention to surgical and oncological principles is required to optimize neobladder outcomes. Long-term follow-up is needed not only for oncological purposes but also to monitor for the late complications, such as ureterointestinal strictures, renal deterioration, infections, and voiding dysfunction. Read More

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http://dx.doi.org/10.1016/j.ucl.2017.09.003DOI Listing
February 2018
5 Reads

Surgical and pathological outcomes of robotic-assisted radical cystectomy for bladder cancer in the community setting.

J Robot Surg 2018 Jun 23;12(2):337-341. Epub 2017 Aug 23.

The University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA.

Robotic-assisted radical cystectomy (RARC) with urinary diversion is commonly performed in community hospitals. While little data exist on RARC outcomes in this setting, community hospitals may improve access to care for bladder cancer patients. We conducted a retrospective review of 76 patients who underwent RARC between 2006 and 2016 by two robotic-trained surgeons in two local community hospitals. Read More

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http://dx.doi.org/10.1007/s11701-017-0740-yDOI Listing
June 2018
23 Reads

Landmarks in the treatment of muscle-invasive bladder cancer.

Nat Rev Urol 2017 Sep 4;14(9):565-574. Epub 2017 Jul 4.

Department of Urology, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.

Muscle-invasive bladder cancer is an aggressive disease associated with high morbidity and mortality. Radical cystectomy is the mainstay of treatment and has evolved since the first reported cystectomy in 1887 to include pelvic lymph node dissection and the creation of increasingly sophisticated urinary diversions, such as neobladders and pouches, which enable patients to maintain continence. Pioneering work in the 1970s established the therapeutic activity of cisplatin in patients with bladder cancer and resulted in the introduction of cisplatin-based neoadjuvant chemotherapy, which led to the first improvement in survival outcomes in decades. Read More

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http://dx.doi.org/10.1038/nrurol.2017.82DOI Listing
September 2017
9 Reads

Acid-base disorders after orthotopic bladder replacement: comparison of an ileal neobladder and an ileal conduit.

Ren Fail 2017 Nov;39(1):379-384

a Division of Nephrology, Department of Internal Medicine.

Objectives: For many years, creation of an orthotopic neobladder after cystectomy has been popular. In the present study, we measured the extent of metabolic acidosis in patients with ileal neobladders compared with ileal conduits and defined risk factors for development of metabolic acidosis.

Methods: We retrospectively studied 95 patients, who underwent radical cystectomy and urinary diversion to treat invasive bladder cancer from January 2001 to December 2014 at Hallym University Kangnam Sacred Heart Hospital, through investigation of acid-base balance, serum electrolyte levels and renal function one month and one year after operation. Read More

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http://dx.doi.org/10.1080/0886022X.2017.1287733DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014508PMC
November 2017
37 Reads

Adenocarcinoma in Continent Anal Urinary Diversion: Is a Sigma Rectum Pouch a Surgical Option After Failed Ureterosigmoidostomy?

Urology 2017 May 18;103:209-213. Epub 2017 Jan 18.

Department of Pediatric and Adolescent Urology, University Hospital Mannheim, Mannheim, Germany.

Objective: To report our experience of radical resection of secondary cancers after ureterosigmoidostomy. Ureterosigmoidostomy was the most common continent urinary diversion before the era of continent cutaneous diversion and neobladders, specifically in children. When performed for bladder exstrophy, patients will live with this kind of diversion for quite a long time. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295173004
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http://dx.doi.org/10.1016/j.urology.2017.01.013DOI Listing
May 2017
19 Reads

Is chronic alkali therapy in orthotopic ileal neobladders necessary? A prospective controlled study.

Int Urol Nephrol 2017 Jan 26;49(1):49-53. Epub 2016 Oct 26.

Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Purpose: To evaluate the necessity of chronic alkali therapy in non-complicated orthotopic ileal neobladders with normal renal function.

Materials And Methods: This is a prospective study that included 200 male patients who underwent radical cystectomy and ileal W neobladder for invasive bladder carcinoma between January 1993 and December 2013. The studied patients included 100 consecutive patients who were maintained on regular alkali therapy since surgery and 100 consecutive patients who stopped the use of alkali treatment after initial 3 months postoperative with minimum postoperative observation time of 1 year. Read More

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http://dx.doi.org/10.1007/s11255-016-1447-0DOI Listing
January 2017
10 Reads

Robotic Intracorporeal Padua Ileal Bladder: Surgical Technique, Perioperative, Oncologic and Functional Outcomes.

Eur Urol 2018 06 22;73(6):934-940. Epub 2016 Oct 22.

Department of Urology, "Regina Elena" National Cancer Institute, Rome, Italy.

Background: Robot-assisted radical cystectomy (RARC) with intracorporeal neobladder reconstruction is a challenging procedure. The need for surgical skills and the long operative times have led to concern about its reproducibility.

Objective: To illustrate our technique for RARC and totally intracorporeal orthotopic Padua ileal bladder. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03022838163072
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http://dx.doi.org/10.1016/j.eururo.2016.10.018DOI Listing
June 2018
21 Reads

Characterization of Standard Urine Properties in Noncomplicated Orthotopic Ileal Neobladders: A Prospective Controlled Study.

Urology 2016 Oct 11;96:80-84. Epub 2016 Jul 11.

Urology Department, Urology & Nephrology Center, Mansoura University, Mansoura, Egypt.

Objective: To characterize the standard physical, chemical, and microscopic characteristics of urine in patients with noncomplicated orthotopic ileal neobladders.

Materials And Methods: This is a prospective study that included 100 male patients who underwent radical cystectomy and ileal neobladder between 1993 and 2013. All included patients were in a good health and having satisfactory function of the reservoirs with normal upper tract with a minimum 1-year postoperative follow-up. Read More

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http://dx.doi.org/10.1016/j.urology.2016.06.047DOI Listing
October 2016
15 Reads

Intravesical OnabotulinumtoxinA Injection for Overactive Orthotopic Ileal Neobladder: Feasibility and Efficacy.

Int Neurourol J 2016 Mar 7;20(1):81-5. Epub 2016 Mar 7.

Department of Urology, Austin Hospital, University of Melbourne, Melbourne, Australia.

The efficacy of intravesical onabotulinumtoxinA (BTXA) in the treatment of overactive bladder (OAB) has been well documented. The use of BTXA injection in orthotopic neobladders is yet to be studied. We present 4 cases of patients injected with intravesical BTXA for overactive orthotopic ileal neobladder. Read More

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http://dx.doi.org/10.5213/inj.1630380.190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819152PMC
March 2016
16 Reads

Ileal versus sigmoid neobladder as bladder substitute after radical cystectomy for bladder cancer: A meta-analysis.

Int J Surg 2016 Mar 20;27:39-45. Epub 2016 Jan 20.

Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Electronic address:

Purpose: To evaluate and compare the functional outcomes of ileal and sigmoid neobladders in patients underwent radical cystectomy.

Methods: Relevant studies were identified by searching PubMed, Embase, and Cochrane Library. The studies comparing the functional outcomes of sigmoid neobladder (SN) and ileal neobladder (IN) in patients underwent radical cystectomy were included. Read More

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http://dx.doi.org/10.1016/j.ijsu.2016.01.044DOI Listing
March 2016
12 Reads

Stapled orthotopic ileal neobladder after radical cystectomy for bladder cancer: Functional results and complications over a 20-year period.

Eur J Surg Oncol 2016 Mar 2;42(3):412-8. Epub 2015 Dec 2.

Department of Urology, San Giovanni Bosco Hospital, Turin, Italy. Electronic address:

Aims: To present the long term-results and complications of a large series of stapled ileal orthotopic neobladders.

Materials And Methods: From 1992 to 2012 we performed 606 radical cystectomies with stapled orthotopic neobladder substitution in male patients. The median patient age was 65 years (interquartile range [IQR]: 58-71). Read More

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http://dx.doi.org/10.1016/j.ejso.2015.11.010DOI Listing
March 2016
15 Reads

The role of cystectomy in elderly patients - a multicentre analysis.

BJU Int 2015 Oct 2;116 Suppl 3:73-9. Epub 2015 Sep 2.

Department of Surgery, University of Melbourne, Heidelberg, Vic., Australia.

Introduction: Life expectancy in developed countries is continuously increasing. Hence elderly patients are becoming more common in our clinical practice. Currently, one of the greatest challenges of medicine is balancing the life expectancy of elderly patients against aggressive treatments that carry significant risks. Read More

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http://dx.doi.org/10.1111/bju.13227DOI Listing
October 2015
10 Reads
2 Citations
3.530 Impact Factor

[Urinary diversion with continent umbilical stoma: Which techniques are suitable for which patients?].

Authors:
T Kälble

Urologe A 2015 Sep;54(9):1240-7

Klinik für Urologie und Kinderurologie, Klinikum Fulda gAG, Pacelliallee 4, 3643, Fulda, Deutschland,

Background: Continent cutaneous diversions play a secondary role even in many centers for urinary diversion. The result is that knowledge about, indications and operation technique does not exist in many clinics.

Results: The general complication rates of the various forms of urinary diversion are not significantly different. Read More

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http://link.springer.com/10.1007/s00120-015-3924-y
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http://dx.doi.org/10.1007/s00120-015-3924-yDOI Listing
September 2015
7 Reads

Two-Port Approach Compared to Standard Laparoscopic Radical Cystectomy.

J Endourol 2015 Sep 26;29(9):1030-7. Epub 2015 Jun 26.

Servicio de Urología, Fundación para la Investigación Biomédica del Hospital Universitario de Getafe , Universidad Europea de Madrid, Madrid, Spain .

Background And Objectives: Two-port laparoscopic radical cystectomy (LRC) using a multichannel platform through the umbilicus and one additional 10-mm in the right iliac fossa has been recently described. We compare the perioperative and early results of this technique with a cohort of patients simultaneously treated in our institution with four-port LRC and a 7 to 10 cm midline incision.

Materials And Methods: A matched-pair study comparing perioperative outcomes, postoperative visual analog pain scale (VAPS), and morbidity of two-port (n=30) and four-port (n=30) LRC. Read More

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http://dx.doi.org/10.1089/end.2015.0161DOI Listing
September 2015
5 Reads

An unrecognised case of metabolic acidosis following neobladder augmentation cystoplasty.

Int J Surg Case Rep 2015 25;11:129-131. Epub 2015 Mar 25.

Department of Urology, Darent Valley Hospital, Dartford, Kent DA2 8DA, United Kingdom. Electronic address:

Introduction: We present a case where there was a delay in the diagnosis of severe metabolic acidosis in a patient with an orthotopic neobladder. There are a growing number of patients with orthotopic neobladders and a wider range of clinicians are encountering these patients. A delay in the diagnosis can lead to significant morbidity but if identified early it can be easily treated. Read More

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http://dx.doi.org/10.1016/j.ijscr.2015.03.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446673PMC
May 2015
5 Reads

Robot-assisted radical cystectomy and intracorporeal urinary diversion - safe and reproducible?

Cent European J Urol 2015 31;68(1):18-23. Epub 2014 Dec 31.

Department of Urology, Yildirim Beyazit University, School of Medicine, Ankara Ataturk Training & Research Hospital, Ankara, Turkey.

Introduction: Robot-assisted radical cystectomy (RARC) plus intracorporeal urinary diversion is feasible. Few centers worldwide demonstrated comparable functional and oncologic outcomes. We reported a large series of RARC and intracorporeal diversion to assess its feasibility and reproducibility. Read More

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http://dx.doi.org/10.5173/ceju.2015.01.466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408389PMC
April 2015
8 Reads

Videourodynamic evaluation of intracorporeally reconstructed orthotopic U-shaped ileal neobladders.

Urology 2015 Apr;85(4):883-9

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Faculty of Pharmacy and Medicine, Urology Unit ICOT, Latina, Italy; Uroresearch Association, non-profit research, Latina, Italy.

Objective: To study the functional outcomes of 30 patients who had previously undergone laparoscopic radical cystectomy with intracorporeal orthotopic ileal neobladder reconstruction using videourodynamic (VUDM) assessment 180 days postoperatively.

Methods: Between November 2010 and December 2013, 30 male patients had undergone laparoscopic radical cystectomy with bilateral standard pelvic lymphadenectomy and pure laparoscopic orthotopic ileal U-shaped neobladder diversion. The demographic data were as follows: median age, 67 years (range, 62-79); body mass index, 22. Read More

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http://dx.doi.org/10.1016/j.urology.2014.09.067DOI Listing
April 2015
8 Reads

Orthotopic neobladder reconstruction.

Urol Ann 2015 Jan-Mar;7(1):1-7

Department of Surgery, University of Melbourne, Victoria ; Ludwig Institute for Cancer Research, Austin Hospital, Melbourne, Victoria ; Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.

Orthotopic neobladder reconstruction is becoming an increasingly common urinary diversion following cystectomy for bladder cancer. This is in recognition of the potential benefits of neobladder surgery over creation of an ileal conduit related to quality of life (QoL), such as avoiding the need to form a stoma with its cosmetic, psychological and other potential complications. The PubMed database was searched using relevant search terms for articles published electronically between January 1994 and April 2014. Read More

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http://dx.doi.org/10.4103/0974-7796.148553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310095PMC
February 2015
2 Reads
2 Citations

Robot-assisted radical cystectomy and intracorporeal neobladder formation: on the way to a standardized procedure.

World J Surg Oncol 2015 Jan 6;13. Epub 2015 Jan 6.

Department of Urology, Ankara Atatürk Training & Research Hospital, Ankara, Turkey.

Background: Robot-assisted radical cystectomy (RARC) with intracorporeal diversion has been shown to be feasible in a few centers of excellence worldwide, with promising functional and oncologic outcomes. However, it remains unknown whether the complexity of the procedure allows its duplication in other non-pioneer centers. We attempt to address this issue by presenting our cumulative experience with RARC and intracorporeal neobladder formation. Read More

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http://dx.doi.org/10.1186/1477-7819-13-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4326337PMC
January 2015
5 Reads

Quality of life outcomes after radical cystectomy: long-term standardized assessment of Studer Pouch versus I-Pouch.

World J Urol 2015 Oct 11;33(10):1381-7. Epub 2014 Dec 11.

Department of Urology, University Hospital Tübingen, Eberhard-Karls University, Hoppe-Seyler Street 3, 72076, Tübingen, Germany.

Purpose: To investigate whether the ileal length used for the formation of two different orthotopic bladder substitutes [Studer (S)-Pouch vs. I-Pouch; 60 vs. 40 cm] impacts quality of life (QoL). Read More

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http://dx.doi.org/10.1007/s00345-014-1461-8DOI Listing
October 2015
14 Reads

Two-port laparoscopic radical cystectomy with reusable umbilical system: a feasibility study.

Urology 2014 Nov 24;84(5):1088-93. Epub 2014 Oct 24.

Servicio de Urología, Hospital Universitario de Getafe, Madrid, Spain; Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Laureate International Universities, Madrid, Spain.

Objective: To describe the technique and report outcomes of laparoscopic radical cystectomy using 2 ports (2-port LRC) for muscle-invasive bladder cancer.

Patients And Methods: Prospective study was performed between November 2011 and October 2012 to standardize 2-port LRC, lymph node dissection, and urinary diversion. Twenty patients were intervened (8 ileal conduit, 12 neobladder) and followed up for >1 yr. Read More

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http://dx.doi.org/10.1016/j.urology.2014.07.024DOI Listing
November 2014
6 Reads

Risk assessment of stone formation in stapled orthotopic ileal neobladder.

J Urol 2015 Mar 16;193(3):891-6. Epub 2014 Sep 16.

Department of Urology, Regina Elena National Cancer Institute of Rome, Rome, Italy; Department of Urology, San Giovanni Bosco Hospital, Turin, Italy.

Purpose: The increasing trend of performing radical cystectomy with a minimally invasive approach has made stapled neobladders an attractive alternative to hand-sewn pouches. To date, data on the incidence and clinical impact of stone formation in long surviving neobladder cases are scarce. We report a long-term, single-center experience of stapled orthotopic ileal neobladder and identify predictors of stone formation. Read More

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http://dx.doi.org/10.1016/j.juro.2014.09.008DOI Listing
March 2015
8 Reads

Metabolic bone disease following urinary diversion in adults.

Curr Opin Urol 2014 Nov;24(6):614-8

aDepartment of Urology, University of Florida.

Purpose Of Review: Urinary diversions are created following radical cystectomy or for the palliation of recalcitrant lower urinary tract symptoms. Chronic metabolic acidosis, one of the several long-term complications associated with urinary diversion, has been shown to lead to metabolic bone disease if untreated.

Recent Findings: The incidence of chronic acidosis can be influenced by several factors, including type and length of bowel segment utilized, renal function, and type of urinary diversion. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/MOU.0000000000000114DOI Listing
November 2014
8 Reads

Effect of alvimopan on return of bowel function after robot-assisted radical cystectomy.

J Laparoendosc Adv Surg Tech A 2014 Oct 2;24(10):693-7. Epub 2014 Sep 2.

City of Hope National Medical Center , Duarte, California.

Introduction: Alvimopan has been shown to improve time to return of bowel function in patients undergoing bowel resection. The objective of this study is to determine if alvimopan has similar benefits for patients undergoing robot-assisted radical cystectomy (RARC).

Materials And Methods: All RARC cases were reviewed from January 2008 to March 2012. Read More

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http://dx.doi.org/10.1089/lap.2014.0170DOI Listing
October 2014
13 Reads
1 Citation
1.190 Impact Factor

Evidence from the 'PROspective MulticEnTer RadIcal Cystectomy Series 2011 (PROMETRICS 2011)' study: how are preoperative patient characteristics associated with urinary diversion type after radical cystectomy for bladder cancer?

Ann Surg Oncol 2015 Mar 28;22(3):1032-42. Epub 2014 Aug 28.

Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany,

Purpose: The aim of this study was to examine preoperative patients' characteristics associated with the urinary diversion (UD) type (continent vs. incontinent) after radical cystectomy (RC) and UD-associated postoperative complications.

Materials: In 2011, 679 bladder cancer patients underwent RC at 18 European tertiary care centers. Read More

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http://dx.doi.org/10.1245/s10434-014-4029-3DOI Listing
March 2015
22 Reads

Robotic radical cystectomy and intracorporeal urinary diversion: The USC technique.

Indian J Urol 2014 Jul;30(3):300-6

Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Introduction: Radical cystectomy is the gold-standard treatment for muscle-invasive and refractory nonmuscle-invasive bladder cancer. We describe our technique for robotic radical cystectomy (RRC) and intracorporeal urinary diversion (ICUD), that replicates open surgical principles, and present our preliminary results.

Materials And Methods: Specific descriptions for preoperative planning, surgical technique, and postoperative care are provided. Read More

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http://dx.doi.org/10.4103/0970-1591.135673DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120218PMC
July 2014
12 Reads

Robotic intracorporeal orthotopic neobladder during radical cystectomy in 132 patients.

J Urol 2014 Dec 9;192(6):1734-40. Epub 2014 Jul 9.

USC Institute of Urology, University of Southern California, Los Angeles, California, and Karolinska Institute, Stockholm, Sweden.

Purpose: We present a 2-institution experience with completely intracorporeal robotic orthotopic ileal neobladder after radical cystectomy in 132 patients.

Materials And Methods: Established open surgical techniques were duplicated robotically with all neobladders suture constructed intracorporeally in a globular configuration. Nerve sparing was performed in 56% of males. Read More

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http://dx.doi.org/10.1016/j.juro.2014.06.087DOI Listing
December 2014
14 Reads

Neobladders and continent catheterizable stomas for the bladder cancer survivor.

Curr Opin Urol 2014 Jul;24(4):407-14

Department of Urology, University of Washington School of Medicine, Seattle, Washington, USA.

Purpose Of Review: Health-related quality of life (HRQOL) following radical cystectomy for bladder cancer is an important outcome measure following radical cystectomy. Understanding HRQOL issues related to continent urinary diversion is crucial in the care and counseling of patients undergoing radical cystectomy. The goals of this review are to give a broad overview of the major types of continent urinary diversions and to review recent literature examining HRQOL in patients undergoing orthotopic neobladders and continent catheterizable urinary reservoirs following radical cystectomy. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000069DOI Listing
July 2014
5 Reads
2.330 Impact Factor

Current indications and results of orthotopic ileal neobladder for bladder cancer.

Expert Rev Anticancer Ther 2014 Apr 3;14(4):419-30. Epub 2014 Feb 3.

Department of Urology, University of Florence, Careggi Hospital, Florence, Italy.

During the past three decades, the reconstructive aspects of urologic surgery emerged and became a major component of our surgical specialty, and the most relevant developments have been observed in the field of urinary diversions. Health-related quality of life and self esteem have been improved following orthotopic bladder substitutions, which are actually the preferred method for continent urinary diversion. Patients with neobladders have enhanced cosmesis and the potential for normal voiding function with no abdominal stoma. Read More

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http://dx.doi.org/10.1586/14737140.2014.867235DOI Listing
April 2014
5 Reads

Transitional cell carcinoma in orthotopic ileal neobladder 12 years after radical cystectomy.

Vojnosanit Pregl 2013 Nov;70(11):1062-4

Institute of Physical Medicine and Rehabilitation, Clinical Center of Serbia, Belgrade, Serbia.

Introduction: Some cases of secondary adenocarcinoma developing in the replaced bowel segment of urinary diversions have been reported so far. Secondary adenocarcinoma develops 20 years after surgery in about 0.5% of those in whom an ileal segment is used. Read More

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November 2013
3 Reads
2 Citations
0.270 Impact Factor

Urinary diversion after radical cystectomy for bladder cancer: options, patient selection, and outcomes.

BJU Int 2014 Jan;113(1):11-23

James Buchanan Brady Foundation, Department of Urology and Division of Medical Oncology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY, USA.

Context: The urinary reconstructive options available after radical cystectomy (RC) for bladder cancer are discussed, as are the criteria for selection of the most appropriate diversion, and the outcomes and complications associated with different diversion options.

Objective: To critically review the peer-reviewed literature on the function and oncological outcomes, complications, and factors influencing choice of procedure with urinary diversion after RC for bladder carcinoma.

Evidence Acquisition: A Medline search was conducted to identify original articles, review articles, and editorials on urinary diversion in patients treated with RC. Read More

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http://dx.doi.org/10.1111/bju.12121DOI Listing
January 2014
19 Reads

Urinary functional outcomes in female neobladder patients.

World J Urol 2014 Feb 7;32(1):221-8. Epub 2013 Dec 7.

Institute of Urology, USC/Norris Comprehensive Cancer Center, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA,

Purpose: The ratio between orthotopic and non-orthotopic diversions in women is far lower than in male patients. Data on urinary function in female patients with neobladders are therefore sparse.

Methods: We investigated the urinary function of female neobladder patients utilizing the Bladder Cancer Index, a validated and reliable health-related quality-of-life (HRQOL) questionnaire. Read More

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http://dx.doi.org/10.1007/s00345-013-1219-8DOI Listing
February 2014
4 Reads

Robot-assisted radical cystectomy (RARC) with intracorporeal neobladder - what is the effect of the learning curve on outcomes?

BJU Int 2014 Jan 31;113(1):100-7. Epub 2013 Oct 31.

Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden.

Objective: To evaluate the effect of the learning curve on operative, postoperative, and pathological outcomes of the first 67 totally intracorporeal robot-assisted radical cystectomies (RARCs) with neobladders performed by two lead surgeons at Karolinska University Hospital.

Patients And Methods: Between December 2003 and October 2012, 67 patients (61 men and six women) underwent RARC with orthotopic urinary diversion by two main surgeons. Data were collected prospectively on patient demographics, peri- and postoperative outcomes including operation times, conversion rates, blood loss, complication rates, pathological data and length of stay (LOS) for these 67 consecutive patients. Read More

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http://dx.doi.org/10.1111/bju.12347DOI Listing
January 2014
10 Reads

Open-assisted laparoscopic radical cystectomy using an ileal neobladder with intracorporeal urethra-neobladder anastomosis: technique and early experiences.

J Med Assoc Thai 2013 May;96(5):564-8

Division of Urology, Department of Surgery, Ramathibodi Hospital, Mahidol University Bangkok, Thailand.

Objective: Laparoscopic radical cystectomy is now widely performed in cases of muscle-invasive bladder cancer. The present study experience with laparoscopic radical cystectomy using an ileal neobladder in which urethra-neobladder anastomosis was successfully performed intracorporeally

Material And Method: Between March and November 2009, five patients underwent laparoscopic radical cystectomy using an ileal neobladder with urethra-neobladder anastomosis. Preoperative characteristics, operative data, and results were analyzed. Read More

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May 2013
10 Reads

Comparative study of morbidity and mortality between ileal conduit and ureterosigmoidostomy after radical cystectomy for bladder neoplasm.

Actas Urol Esp 2013 Nov-Dec;37(10):613-8. Epub 2013 Apr 18.

Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address:

Objectives: Despite the growing trend in the development of orthotopic neobladders, the procedure cannot be performed in many cases, thereby retaining the validity of other techniques. We propose a comparative analysis between patients with radical cystectomy for bladder neoplasm and reconstruction using the ileal conduit (IC) or ureterosigmoidostomy (USG).

Patients And Method: Observational retrospective study on 255 patients with radical cystectomy between 1985 and 2009, selecting group assignments by the use of IC and USG. Read More

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http://dx.doi.org/10.1016/j.acuro.2013.01.007DOI Listing
September 2014
15 Reads

Orthotopic detaenial sigmoid neobladder after radical cystectomy: technical considerations, complications and functional outcomes.

J Urol 2013 Sep 26;190(3):928-34. Epub 2013 Mar 26.

Department of Urology, Zhujiang Hospital of Southern Medical University, Guangzhou, People's Republic of China.

Purpose: In recent years the orthotopic neobladder has gained increasing popularity in patients who undergo radical cystectomy. However, there are only a few reports of orthotopic neobladders reconstructed from the sigmoid without detubularization. We investigated the complications and functional outcomes of the orthotopic sigmoid neobladder reconstructed using our detaenial technique. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347130386
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http://dx.doi.org/10.1016/j.juro.2013.03.072DOI Listing
September 2013
9 Reads

Antegrade percutaneous flexible endoscopic approach for the management of urinary diversion-associated complications.

J Endourol 2013 Nov 12;27(11):1330-4. Epub 2013 Jun 12.

Urology Department, Tenon University Hospital, Pierre and Marie Curie University , Paris, France .

Purpose: We present our experience in the minimally invasive management of postoperative complications associated with urinary diversions using an ureteral access sheath (UAS) in an antegrade approach.

Patients And Methods: From 2005 to 2011, 21 antegrade flexible ureteroscopies (F-URS) were performed in 17 patients with a urinary diversion. Urinary diversions in this population consisted of ileal conduits, orthotopic neobladders, catheterizable pouches, and an ureterosigmoidostomy in 9, 5, 2, and 1 patients, respectively. Read More

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http://dx.doi.org/10.1089/end.2012.0371DOI Listing
November 2013
7 Reads
3 Citations
2.100 Impact Factor

Perugia ileal neobladder: functional results and complications.

World J Urol 2012 Dec 13;30(6):747-52. Epub 2012 Nov 13.

Urology Department, University of Perugia, Sant'Andrea delle Fratte, 06100 Perugia, Italy.

Purpose: To evaluate the long-term functional results and complications of an orthotopic ileal neobladder, defined as perugia ileal neobladder (PIN), in a group of patients with bladder cancer who underwent radical cystectomy (RC).

Methods: Between 1993 and 2009, 237 consecutive patients who underwent RC for non-metastatic bladder cancer and orthotopic ileal neobladder reconstruction were enrolled. The neobladder was created using a modified Camey-II technique and consisted of a detubularized ileal loop of 45 cm using a vertical "Y" shape. Read More

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http://dx.doi.org/10.1007/s00345-012-0985-zDOI Listing
December 2012
4 Reads

Metabolic acidosis: neo-considerations for general surgeons.

Ann R Coll Surg Engl 2012 Nov;94(8):e249-50

East and North Hertfordshire NHS Trust, UK.

Hyperchloraemic metabolic acidosis is a documented complication of neobladder formation. However, it usually improves with time and is mild. Severe and persistent metabolic acidosis may manifest when patients undergo further surgery for other reasons. Read More

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http://dx.doi.org/10.1308/003588412X13373405387456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954307PMC
November 2012
4 Reads

[Strategy in preventing of uretero-intestinal anastomosis strictures in patients with low-pressure intestinal neobladder].

Przegl Lek 2012 ;69(5):181-3

Katedra i Klinika Urologii, Collegium Medicum UJ, Kraków.

Ureteroileal stenoses occur in 1.2-20% patients with neobladders. They constitute a serious clinical complication since, as every obstruction of urine flow from the kidney. Read More

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October 2012
3 Reads

[Secondary malignancies in urinary diversions].

Urologe A 2012 Apr;51(4):500, 502-6

Klinik für Urologie und Kinderurologie, Klinikum Fulda, Pacelliallee 4, 36043, Fulda, Deutschland.

In contrast to ureterosigmoidostomy no reliable clinical data exist for tumor risk in different forms of urinary diversion using isolated intestinal segments.In 44 German urological departments, operation frequencies, indications, patient age, and operation dates of the different forms of urinary diversion, operated between 1970 and 2007, could be registered. The secondary tumors up to 2009 were registered as well and related to the numbers of the different forms of urinary diversions resulting in tumor prevalences. Read More

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http://link.springer.com/10.1007/s00120-012-2815-8
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http://dx.doi.org/10.1007/s00120-012-2815-8DOI Listing
April 2012
10 Reads

[Iliac neobladder - 10-year experience].

Urologiia 2011 Nov-Dec(6):67-72

Surgeons of the clinic of P.V. Mandryka Central Military Hospital have rich 10-year experience in creation of neobladders after cystectomy. Read More

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April 2012
1 Read

A novel antireflux technique for orthotopic ileal bladder substitutes-flat-segment technique: preliminary results.

ISRN Urol 2011 14;2011:431951. Epub 2011 Sep 14.

Urology Department, Kasr Al Aini Hospitals, Cairo University, Cairo, Egypt.

Objective. Although a large debate exists regarding the need for reflux prevention in ileal orthotopic neobladders, it is our policy to continue performing nonrefluxing ureteroileal anastomoses for our patients. An ideal uretero-ileal anastomosis must be simple, nonrefluxing, as well as non-obstructive. Read More

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http://dx.doi.org/10.5402/2011/431951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197076PMC
August 2012
5 Reads

Modified technique for the creation of an orthotopic neobladder in patients with shortened mesentery: making up the difference between the bladder and the urethral stump.

Urology 2011 Dec 11;78(6):1430-4. Epub 2011 Oct 11.

Division of Urology, Department of Surgery and Anatomy, Ribeirao Preto Medical School, Sao Paulo University, SP, Brazil.

Objective: To describe an ileal neobladder reconstruction technique performed in 5 men who had previous abdominal surgeries and presented with a short mesoileum at the time of bladder replacement.

Methods: The patients were 5 men scheduled for a radical cystoprostatectomy with bladder substitution and had a short mesoileum at the time of the surgery. All patients had a history of abdominal surgery. Read More

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http://dx.doi.org/10.1016/j.urology.2011.07.1404DOI Listing
December 2011
2 Reads

Intracorporeal neobladder reconstruction: pressure-flow urodyamic studies in cadaveric orthotopic neobladders.

BJU Int 2012 Feb 7;109(3):434-6. Epub 2011 Oct 7.

North Shore/LIJ - Smith Institute for Urology, New Hyde Park, NY, USA.

Objective: To determine the pressure-flow characteristics of neobladders created in various configurations that may be constructed intra-abdominally. Complete intracorporeal neobladder construction has been previously described but is limited due to excessive operative time and the need for an advanced laparoscopic skill set.

Materials And Methods: Four neobladder configurations were constructed, each using 20 cm of human cadaveric small intestine. Read More

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http://dx.doi.org/10.1111/j.1464-410X.2011.10403.xDOI Listing
February 2012
6 Reads

[Analysis of perioperative complications of laparoscopic radical cystectomy for bladder cancer].

Beijing Da Xue Xue Bao Yi Xue Ban 2011 Aug;43(4):544-7

Department of Urology, Peking University Third Hospital, Beijing 100191, China.

Objective: To evaluate operation process and perioperative complications of patients who underwent laparoscopic radical cystectomy (LRC).

Methods: The clinical data of 49 cases of LRC from October 2004 to June 2010 were reviewed retrospectively. Perioperative complications and mortality were analyzed, and so were the operative time, blood loss and postoperative hospital stay. Read More

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August 2011
2 Reads