Korean J Urol.  2003 Sep;44(9):876-881.

New Technique of Orthotopic Ileal Neobladder: Early Experience

• Cheong JY
• Choi KY
• Ahn HJ

Abstract

PURPOSE: During the last 10 years, a multitude of different ileal neobladders have been reported. The ureterointestinal anastomotic site stricture has been shown to be one of the most common late complications. To avoid the stricture, a new orthotopic ileal neobladder was constructed, with two chimneys and two afferent ileal limbs beside the reservoir.
MATERIALS AND METHODS
Twenty-six men, with invasive bladder cancer, underwent a radical cystectomy, with the creation of a two chimney ileal neobladder. The mean follow-up was 18 months. The complications were assessed and divided into those related or unrelated to the urinary tract. The continence was evaluated using patient questionnaires.
RESULTS
There was no case of an ureteroileal anastomotic site stricture. Five cases of vesicoureteral reflux were noted in the 52 ureteral units. Good, or satisfactory, day- and nighttime urinary continence was reported at the 6 month follow-up by 92.3 and 69.2% of patients, respectively.
CONCLUSIONS
The ileal neobladder with two chimneys would be an appropriate technique for the reduction of the ureteroileal anastomotic stricture rate and to overcome some of limitations of the ureteral length.

Keyword

Cystectomy; Urinary diversion; Complications

MeSH Terms

Constriction, Pathologic
Cystectomy
Extremities
Follow-Up Studies
Humans
Male
Surveys and Questionnaires
Ureter
Urinary Bladder Neoplasms
Urinary Diversion
Urinary Tract
Vesico-Ureteral Reflux