Skip to main content

Cystectomy and Bladder Reconstruction for Bladder Cancer

  • Chapter
Tumours in Urology
  • 123 Accesses

Abstract

The control of muscle invasive carcinoma of the urinary bladder remains a challenge for the urological oncologist and the best management is still controversial. The treatment options include radical cystectomy, full-thickness transurethral resection (TUR), radiotherapy and chemotherapy — either alone or in combination with other treatments. Radical cystectomy has become accepted as the “gold-standard” against which other treatments are compared — even though survival rates after cystectomy in any one series can be difficult to compare with others owing to differences in patient selection and recent improvement in anaesthetic techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ahlering TE, Weinberg AC, Razor B (1989) A comparative study of the ileal conduit, Kock pouch and modified Indiana pouch. J Urol 142: 1193–1196

    PubMed  CAS  Google Scholar 

  • Algabe F (1987) Origin of high-grade superficial bladder cancer. Eur Urol 13: 153–155

    Google Scholar 

  • Allen TD, Peters PC, Sagalowsky AI, Roehrborn C (1985) The Carney procedure: preliminary results in 11 patients. World J Urol 3: 167–71

    Article  Google Scholar 

  • Atta MA (1991) A new technique for continent urinary reservoir reconstruction. J Urol 145: 960–962

    PubMed  CAS  Google Scholar 

  • Barker SB (1991) Continent diversion with an appendix conduit and an ileocecal bladder. J Urol 146: 754–755

    PubMed  CAS  Google Scholar 

  • Bejany DE, Politano VA (1988) Stapled and nonstapled tapered distal ileum for construction of a continent colonic urinary reservoir. J Urol 140: 491–494

    PubMed  CAS  Google Scholar 

  • Bihrle R, Klee LW, Adams MC, Foster RS (1991) Early clinical experience with the transverse colon-gastric tube continent urinary reservoir. J Urol 146: 751–753

    PubMed  CAS  Google Scholar 

  • Birch BRP, Harland SJ (1989) The pT1G3 bladder tumour. Br J Urol 64: 109–116

    Article  PubMed  CAS  Google Scholar 

  • Brendler CB, Schlegel PN, Walsh PC (1990a) Urethrectomy with preservation of potency. J Urol 144: 270–273

    PubMed  CAS  Google Scholar 

  • Brendler CB, Steinberg GD, Marshall FF, Mostwin JL, Walsh PC (1990b) Local recurrence and survival following nerve-sparing radical cystoprostatectomy. J Urol 144: 1137–1141

    PubMed  CAS  Google Scholar 

  • Bricker EM (1950) Bladder substitution after pelvic evisceration. Surg Clin North Am 30: 1511–1521

    PubMed  CAS  Google Scholar 

  • Burgers JK, Brendler JB (1991) Anatomic radical cystoprostatectomy. Urol Clin North Am 18: 659–676

    PubMed  CAS  Google Scholar 

  • Carney M (1985) Bladder replacement by ileocystoplasty following radical cystectomy. World J Urol 3: 161–166

    Article  Google Scholar 

  • Chen KK, Chang LS, Chen MT (1989) Urodynamic and clinical outcome of Kock pouch continent urinary diversion. J Urol 141: 94–97

    PubMed  CAS  Google Scholar 

  • Coffey RC (1911) Physiologic implantation of the severed ureter or common bile-duct into the intestine. JAMA 56: 397–403

    Google Scholar 

  • Droller MJ, Walsh PC (1985) Intensive intravesical chemotherapy in the treatment of flat carcinoma in situ: is it safe? J Urol 134: 1115–1117

    PubMed  CAS  Google Scholar 

  • Fowler JE, Jr, Clayton M, Mouli K, Reagan G (1987) Effect of liquid diphenoxylate hydrochloride and atropine sulfate ( Lomotil) instillations on dynamics and function of continent cecal urinary reservoirs. J Urol 138: 735–738

    PubMed  Google Scholar 

  • Ghoneim MA, Shehab-El-Din AB, Ashamallah AK, Haballah MA (1981) Evolution of the rectal bladder as a method for urinary diversion. J Urol 126: 737–740

    PubMed  CAS  Google Scholar 

  • Goldwasser B, Webster GD (1985) Continent urinary diversion. J Urol 134: 227–36

    PubMed  CAS  Google Scholar 

  • Hall MC, Koch MO, McDougal WS (1991) Metabolic consequences of urinary diversion through intestinal segments. Urol Clin North Am 18: 725–735

    PubMed  CAS  Google Scholar 

  • Hardeman SW, Soloway MS (1990) Urethral recurrence following radical cystectomy. J Urol 144: 666–669

    PubMed  CAS  Google Scholar 

  • Hautmann RE, Egghart G, Frohneberg D, Miller K (1987) Die Ileum Neoblase. Urologe A 26: 67–73

    PubMed  CAS  Google Scholar 

  • Hautmann RE, Egghart G, Frohneberg G, Miller K (1988) The ileal neobladder. J Urol 139: 39–42

    PubMed  CAS  Google Scholar 

  • Herr HW (1991) Progression of stage T1 bladder tumors after intravesical bacillus Calmette-Guérin. J Urol 145: 40–44

    PubMed  CAS  Google Scholar 

  • Herr HW (1987) Conservative management of muscle-infiltrating bladder cancer: prospective experience. J Urol 138: 1162–1163

    PubMed  CAS  Google Scholar 

  • Hinman F Jr (1988) Selection of intestinal segments for bladder substitution: physical and physiological characteristics. J Urol 139: 519–523

    PubMed  Google Scholar 

  • Hirdes WH, Hoekstra I, Vlietstra HP (1988) Hammock anastomosis: a nonrefluxing ureteroileal anastomosis. J Urol 139: 517–518

    PubMed  CAS  Google Scholar 

  • Jakobsen H, Steven K, Stigsby B, Klarskov P, Hald T (1987) Pathogenesis of nocturnal urinary incontinence after ileocaecal bladder replacement. Continuous measurement of urethral closure pressure during sleep. Br J Urol 59: 148–152

    Article  PubMed  CAS  Google Scholar 

  • Jakse G, Loidl W, Seeber G, Hofstaedter F (1987) Stage G1, Grade 3 transitional cell carcinoma of the bladder: an unfavorable tumor? J Urol 137: 39–43

    PubMed  CAS  Google Scholar 

  • Koch MO, McDougal WS, Reddy PK, Lange PH (1991) Metabolic alterations following continent urinary diversion through colonic segments. J Urol 145: 270–273

    PubMed  CAS  Google Scholar 

  • Kock NG (1969) Intra abdominal ‘reservoir’ in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal ‘continence’ in five ileostomy patients. Arch Surg 99: 223–231

    PubMed  CAS  Google Scholar 

  • Kock NG, Norlén LJ, Philipson BM, Akerlund S (1985) The continent ileal reservoir ( Kock pouch) for urinary diversion. World J Urol 3: 146–151

    Article  Google Scholar 

  • Kock NG, Ghoneim MA, Lycke KG, Mahran MR (1989) Replacement of the bladder by the urethral Kock pouch: functional results urodynamics and radiological features. J Urol 141: 1111–1116

    PubMed  CAS  Google Scholar 

  • Leadbetter WF, Cooper JF (1950) Regional gland dissection for carcinoma of the bladder: a technique for one-stage cystectomy, gland dissection and bilateral ureteroenterostomy. J Urol 63: 242

    PubMed  CAS  Google Scholar 

  • Le Duc A, Carney M (1979) Un procédé d’implantation urétéroiléale antireflux dans l’entéro- cystoplastie. J Urol Néphrol 85: 449–454

    Google Scholar 

  • Light JK, Scott FB (1984) Total reconstruction of the lower urinary tract using bowel and the artificial urinary sphincter. J Urol 1984 131: 953–956

    Google Scholar 

  • Lindell O (1987) Salvage cystectomy. Eur Urol 13: 17–21

    PubMed  CAS  Google Scholar 

  • Lockhart JL (1987) Remodeled right colon: an alternative urinary reservoir. J Urol 138: 730–734

    PubMed  CAS  Google Scholar 

  • Lockhart JL, Pow Sang JM, Persky L, Kahn P, Helal M, Sanford E (1990) A continent colonic urinary reservoir: the Florida pouch. J Urol 144: 864–867

    PubMed  CAS  Google Scholar 

  • Malkowicz SB, Nichols P, Lieskovsky G, Boyd SD, Huffmann J, Skinner DG (1990) The role of radical cystectomy in the management of high grade superficial bladder cancer (PA, P1, Pis and P2). J Urol 144: 641–645

    PubMed  CAS  Google Scholar 

  • Mansson A, Johnson G, Mansson W (1988) Quality of life after cystectomy. Comparison between patients with conduit and those with continent caecal reservoir urinary diversion. Br J Urol 62: 240–245

    Article  PubMed  CAS  Google Scholar 

  • Melchior H, Spehr C, Knop Wagemann I, Persson MC, Juenemann KP (1988) The continent ileal bladder for urinary tract reconstruction after cystectomy: a survey of 44 patients. J Urol 139: 714–718

    PubMed  CAS  Google Scholar 

  • Mitrofanoff P (1980) Cystostomie continente trans-apendiculaire dans le traitment des vessies neurologiques. Chir Pediatr 21: 297–304

    PubMed  CAS  Google Scholar 

  • Montie JE, Wood DP Jr (1989) The risk of radical cystectomy. Br J Urol 63: 483–486

    Article  PubMed  CAS  Google Scholar 

  • Montie JE, Straffon RA, Steward BH (1984) Radical cystectomy without radiation therapy for carcinoma of the bladder. J Urol 131: 477–482

    PubMed  CAS  Google Scholar 

  • Neal DE (1985) Complications of ileal conduit urinary diversion in adults with cancer followed up for at least 5 years. Br Med J 290: 1695–1697

    Article  CAS  Google Scholar 

  • Neal DE (1989) Urodynamic investigation of the ileal conduit: upper tract dilatation and the effects of revision of the conduit. J Urol 142: 97–100

    PubMed  CAS  Google Scholar 

  • Pagano F, Bassi P, Galetti TP et al. (1991) Results of contemporary radical cystectomy for invasive bladder cancer: a clinicopathological study with an emphasis on the inadequacy of the tumor, nodes and metastases classification. J Urol 145: 45–50

    PubMed  CAS  Google Scholar 

  • Prout GR Jr, Griffin PP, Sipley WU (1979) Bladder carcinoma as a systemic disease. Cancer 43: 2532–2539

    Article  PubMed  Google Scholar 

  • Raghavan D, Shipley WU, Garnick MB, Rüssel PJ, Richie JP (1990) Biology and management of bladder cancer. N Engl J Med 322: 1129–1138

    Article  PubMed  CAS  Google Scholar 

  • Reddy PK, Lange PH, Fraley EE (1991) Total bladder replacement using detubularized sigmoid colon: technique and results. J Urol 145: 51–55

    PubMed  CAS  Google Scholar 

  • Riedmiller H, Bürger R, Müller S, Thüroff J, Hohenfellner R (1990) Continent appendix stoma: A modification of the MAINZ pouch technique J Urol 143: 1115–1117

    PubMed  CAS  Google Scholar 

  • Roehrborn CG, Teigland CM, Sagalowsky AI (1987) Functional characteristics of the Carney ileal bladder. J Urol 138: 739–742

    PubMed  CAS  Google Scholar 

  • Rowland RG, Mitchell ME, Bihrle R, Kahnoski RJ, Piser JE (1987) Indiana continent urinary reservoir. J Urol 137: 1136–1139

    PubMed  CAS  Google Scholar 

  • Schlegel PN, Walsh PC (1987) Neuroanatomical approach to radical cystoprostatectomy with preservation of sexual function. J Urol 138: 1402–1406

    PubMed  CAS  Google Scholar 

  • Schneider AW, Huland H (1990) Tumormarker und prognostische Parameter beim Harnblasenkarzinom. Urologe A 29: 71–76

    PubMed  CAS  Google Scholar 

  • Schreiter F, Noll F (1989) Kock pouch and S bladder: 2 different ways of lower urinary tract reconstruction. J Urol 142: 1197–1200

    PubMed  CAS  Google Scholar 

  • Shaaban AA, Dawaba MS, Gaballah MA, Ghoneim MA (1991) Urethral controlled bladder substitution: a comparison between Parks S pouch and hemi-Kock pouch. J Urol 146: 973–976

    PubMed  CAS  Google Scholar 

  • Skinner DG (1982) Management of invasive bladder cancer: a meticulous pelvic node dissection can make a difference. J Urol 128: 34–36

    PubMed  CAS  Google Scholar 

  • Skinner DG, Lieskovsky G (1984) Contemporary cystectomy with pelvic node dissection compared to preoperative radiation therapy plus cystectomy in management of invasive bladder cancer. J Urol 131: 1069–1072

    PubMed  CAS  Google Scholar 

  • Skinner EC, Lieskovsky G, Skinner DG (1984) Radical cystectomy in the elderly patient. J Urol 131: 1065–1068

    PubMed  CAS  Google Scholar 

  • Skinner DG, Boyd SD, Lieskovsky G (1987) An update on the Kock pouch for continent urinary diversion. Urol Clin North Am 14: 789–795

    PubMed  CAS  Google Scholar 

  • Skinner DG, Lieskovsky G, Boyd S (1989) Continent urinary diversion. J Urol 141: 1323–1327

    PubMed  CAS  Google Scholar 

  • Skinner DG, Boyd SD, Lieskovsky G, Bennett C, Hopwood B (1991) Lower urinary tract reconstruction following cystectomy: experience and results in 126 patients using the Kock ileal reservoir with bilateral ureteroileal urethrostomy. J Urol 146: 756–760

    PubMed  CAS  Google Scholar 

  • Stöckle M, Alken P, Engelmann U, Jacobi GH, Riedmiller H, Hohenfellner R (1987) Radical cystectomy - often too late? Eur Urol 13: 361–367

    PubMed  Google Scholar 

  • Studer UE, Spiegel T, Casanova GA et al. (1991) Ileal bladder substitute: antireflux nipple or afferent tubular segment? Eur Urol 20: 315–326

    PubMed  CAS  Google Scholar 

  • Svare J, Walter S, Kristensen JK, Lund F (1985) Ileal conduit urinary diversion - early and late complications. Eur Urol 11: 83–86

    PubMed  CAS  Google Scholar 

  • Thüroff JW, Aiken P, Riedmiller H, Jacobi GH, Hohenfellner R (1988) 100 cases of Mainz pouch: continuing experience and evolution. J Urol 140: 283–288

    PubMed  Google Scholar 

  • Tscholl R, Leisinger HJ, Hauri D (1987) The ileal S-pouch for bladder replacement after cystectomy: preliminary report of 7 cases. J Urol 138: 344–347

    PubMed  CAS  Google Scholar 

  • Vincente J, Laguna MP, Duarte D, Algabe F, Chéchile G (1991) Carcinoma in situ as a prognostic factor for G3pT1 bladder tumours. Br J Urol 68: 380–382

    Article  Google Scholar 

  • Webster GD, Bertram RA (1986) Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve. J Urol 135: 465–469

    PubMed  CAS  Google Scholar 

  • Wenderoth UK, Bachor R, Egghart G, Frohneberg D, Miller K, Hautmann RE (1990) The ileal neobladder: experience and results of more than 100 consecutive cases. J Urol 143: 492–496

    PubMed  CAS  Google Scholar 

  • Wishnow KI, Tenney DM (1991) Will Rogers and the results of radical cystectomy for invasive bladder cancer. Urol Clin North Am 18: 530–537

    Google Scholar 

  • Wood DP Jr, Montie JE, Maatman TJ, Beck GJ (1987) Radical cystectomy for carcinoma of the bladder in the elderly patient. J Urol 138: 46–48

    PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag London Limited

About this chapter

Cite this chapter

Seemann, O., Alken, P. (1994). Cystectomy and Bladder Reconstruction for Bladder Cancer. In: Neal, D.E. (eds) Tumours in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-2086-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2086-5_6

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2088-9

  • Online ISBN: 978-1-4471-2086-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics