Korean J Urol.  2011 Apr;52(4):233-240.

Radical Cystectomy and Orthotopic Bladder Substitution Using Ileum

• Park J
• Ahn H

Abstract

Over the past decade, continent urinary diversion, especially orthotopic bladder substitutions, has become increasingly popular following radical cystectomy for bladder cancer. The ultimate goal of orthotopic bladder substitution is to offer patients the best quality of life, similar to that of patients with native bladders. To achieve that purpose, surgeons should be familiar with the characteristics of good candidates for neobladders, the possible intraoperative and postoperative problems related to the surgery, and the solutions to these problems. Postoperative surveillance and instructions given to the patients also contribute to successful, functional results. Here, we reviewed the indications, pitfalls, and solutions for orthotopic bladder substitutions and the patients' quality of life after surgery. When performed properly, orthotopic continent diversion offers good quality of life with few long-term complications. Therefore, we believe it is the best option for the majority of patients requiring cystectomy.

Keyword

Cystectomy; Quality of life; Urinary bladder; Urinary bladder neoplasms; Urinary diversion

MeSH Terms

Cystectomy
Humans
Ileum
Quality of Life
Urinary Bladder
Urinary Bladder Neoplasms
Urinary Diversion