Evaluating Stapler Based Ileal Neobladders in Terms of Function and Patient Satisfaction, An NCI Experience
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- Category: Vol. 86, June 2018
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Evaluating Stapler Based Ileal Neobladders in Terms of Function and Patient Satisfaction, An NCI Experience, SHARIF A. ABDEL-KARIM, ABDALLA M. ELAZAB, EMAN EL-DESOUKY, EHAB S. HUSSIEN, ABDEL-MAKSOUD MOHAMMAD and ISMAIL A. MOURAD
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.