Please use this identifier to cite or link to this item:
Title: Orthotopic neobladder reconstruction.
Austin Authors: Chang, Dwayne T S;Lawrentschuk, Nathan
Affiliation: 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
Department of Urology, Fremantle Hospital and Health Service, Fremantle, Western Australia
Issue Date: 3-Jan-2015
Publication information: Urology Annals; 7(1): 1-7
Abstract: 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. Full-text articles in English or with English translation were assessed for relevance to the topic before being included in the review. Patients with neobladders have comparable or better post-operative sexual function than those with ileal conduits. They also have comparable QoL to those with ileal conduits. Orthotopic neobladder is a good alternative to ileal conduit in suitable patients who do not want a stoma and are motivated to comply with neobladder training. However, the selection of a neobladder as the urinary diversion of choice requires that patients have good renal and liver functions and are likely to be compliant with neobladder training. With benefits also come potential risks of neobladder formation. These include electrolyte abnormalities and nocturnal incontinence. This short review highlights current aspects of neobladder formation and its potential advantages.
Gov't Doc #: 25657535
DOI: 10.4103/0974-7796.148553
Journal: Urology annals
Type: Journal Article
Subjects: Erectile dysfunction
quality of life
urinary bladder
urinary diversion
urinary incontinence
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Dec 7, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.