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• W2413507922 abstract "No AccessJournal of Urology1 Jan 1991Total Bladder Replacement Using Detubularized sigmoid Colon: Technique and Results Pratap K. Reddy, Paul H. Lange, and Elwin E. Fraley Pratap K. ReddyPratap K. Reddy More articles by this author , Paul H. LangePaul H. Lange Current address: Department of Urology, University of Washington Medical Center, Seattle, Washington 98195. More articles by this author , and Elwin E. FraleyElwin E. Fraley More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38245-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We performed total bladder replacement with a detubularized segment of sigmoid colon in patients after cystoprostatectomy. The surgical technique and long-term results in 27 patients are reported. This neobladder configuration compared favorably with other neobladder types regarding ease of construction. The surgical complications were acceptable. Initial reservoir function was good but improved further with time. After 1 year the capacity averaged 600 cc, pressures during filling and at capacity were low (average 12 and 16cm. water) and emptying was satisfactory (residual urine 4 to 80 cc). All patients were continent during the day and 67% were continent at night without excessive voiding habits. Nighttime incontinence was further resolved in 2 patients by using the AMS 800 artificial sphincter around the bulbous urethra. The detubularized sigmoid is an excellent neobladder configuration after cystoprostatectomy. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byStein J (2018) THE TREATMENT OF PATIENTS WITH BLADDER CANCER: LET’S NOT FORGET THE PAST!Journal of Urology, VOL. 174, NO. 3, (814-815), Online publication date: 1-Sep-2005.LAGUNA M, BRENNINKMEIER M, BELON J, MARRERO R, WIJKSTRA H, de la ROSETTE J and ISORNA S (2018) LONG-TERM FUNCTIONAL AND URODYNAMIC RESULTS OF 50 PATIENTS RECEIVING A MODIFIED SIGMOID NEOBLADDER CREATED WITH A SHORT DISTAL SEGMENTJournal of Urology, VOL. 174, NO. 3, (963-967), Online publication date: 1-Sep-2005.Souma T, Terai A, Arai Y, Hashimura T, Takeuchi H and Yoshida O (2018) Continent Urinary Reservoir Using Sigmoid Colon and Appendix After Pelvic Exenteration for Bulky Leiomyosarcoma: A Case ReportJournal of Urology, VOL. 153, NO. 6, (1907-1909), Online publication date: 1-Jun-1995.Martins F, Bennett C and Skinner D (2018) Options in Replacement Cystoplasty Following Radical Cystectomy: High Hopes or Successful RealityJournal of Urology, VOL. 153, NO. 5, (1363-1372), Online publication date: 1-May-1995.Montie J, Edson Pontes J, Parulkar B and Selby T (2018) W-Stapled Ileal Neo-Bladder Formed Entirely with Absorbable StaplesJournal of Urology, VOL. 151, NO. 5, (1188-1192), Online publication date: 1-May-1994.Vogelzang N, Moormeier J, Awan A, Weichselbaum R, Farah R, Straus F, Schoenberg H and Chodak G (2018) Methotrexate, Vinblastine, Doxorubicin and Cisplatin followed by Radiotherapy or Surgery for Muscle Invasive Bladder Cancer: The University of Chicago ExperienceJournal of Urology, VOL. 149, NO. 4, (753-757), Online publication date: 1-Apr-1993.Lytton B (2018) Editorial CommentsJournal of Urology, VOL. 148, NO. 3 Part 1, (810-810), Online publication date: 1-Sep-1992.McDougal W (2018) Editorial CommentsJournal of Urology, VOL. 148, NO. 3 Part 1, (810-810), Online publication date: 1-Sep-1992.Keetch D, Klutke C and Catalona W (2018) Late Decompensation of NeobladderJournal of Urology, VOL. 148, NO. 3 Part 1, (806-810), Online publication date: 1-Sep-1992. Volume 145Issue 1January 1991Page: 51-55 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordssigmoidcarcinomacolontransitional cellbladderMetricsAuthor Information Pratap K. Reddy More articles by this author Paul H. Lange Current address: Department of Urology, University of Washington Medical Center, Seattle, Washington 98195. More articles by this author Elwin E. Fraley More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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