Abstract
Purpose: A simple non antireflux technique is described for ureteral implantation in to the orthotopic ileal neobladder.
Materials and methods: Forty-nine ureteroileal anastomoses into the orthotopic ileal neobladder were performed on 25 adult male patients undergoing radical cystectomy and bladder substitution. The operative technique is described in detail.
Results: Surgery-related complications were found to be 3 cases of ureteral dilatation. The cause was anastomotic obstruction (stricture) in one of the cases, and ureteric angulation and periureteritis on the middle third, in two of the cases. None of the patients showed signs of reflux be means of neocystography.
Conclusion: Ileal neobladder as low pressure bladder substitute does not require antireflux manoeuvering on ureteral implantation. The technique of the method described is very easy to perform. Long-term follow-up of a larger number of patients is indicated.
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Répássy, D.L., Bécsi, A. & Tamás, G. A Simplified Method of Ureteral Implantation into the Orthotopic Ileal Neobladder. Int Urol Nephrol 31, 805–810 (1999). https://doi.org/10.1023/A:1007157916099
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DOI: https://doi.org/10.1023/A:1007157916099