Comparative performance of the different orthotopic urinary diversions

Abstract

Purpose of reviewMajority of patients undergoing radical cystectomy are suitable for orthotopic urinary diversion. The effect of different techniques of neobladder reconstruction on early and long-term postoperative complications is still being determined. Additionally, it is unclear which type of neobladder provides the best patient satisfaction. The purpose of this article is to review the outcomes of different orthotopic urinary diversions following radical cystectomy.Recent findingsIleal neobladder is the preferred type of orthotopic urinary diversion following radical cystectomy. Hautmann and Studer, which are the most common orthotopic diversion techniques, provide daytime continence rate up to 87% and 92%, respectively. However, nighttime continence is achieved in about 50% of patients. High-level evidence supports the long-term safety of orthotopic neobladder in terms of renal function, even in patients with a glomerular filtration rate <60 ml/min. Sexual dysfunction is the only independent factor associated with poorer quality of life in these patients.SummaryThe best type of neobladder is still uncertain. However, Studer and Hautmann are the most commonly performed techniques that provide favorable short- and long-term outcomes.

A review of small bowel orthotopic bladder plasty techniques after radical cystectomy

“…Операции по Studer и Hautmann -наиболее часто используемые техники по созданию артифициальных мочевых пузырей из тонкой кишки, которые обеспечивают благоприятные краткосрочные и долгосрочные результаты, проверенные на протяжении длительного времени и в большом количестве исследований [15,17,33,34]. Все последующие работы по созданию новых техник ортотопических пластик мочевого пузыря можно разделить на 2 категории: изолированные модификации уже известных операций и их сочетание.…”

Blasenkrebs: Die Herausforderung einer auf den Patienten und die Tumoreigenschaften zugeschnittenen Nachsorge

“…Chez les patients porteurs d'une dérivation urinaire continente (vessie de substitution), le résidu post-mictionnel doit être régulièrement évalué, de même que la continence. Dans les centres hospitaliers à haut volume, la majorité des patients porteur d'une vessie de substituti-on atteignent une continence diurne dans les 6 mois après la CR [22]. L'incontinence nocturne est souvent plus fréquente mais reste d'un degré modéré [23].…”

Urinary microbiota signatures associated with different types of urinary diversion: a comparative study

“…They are also likely to accept the adverse psychological stimulation brought by this surgery. Studer is the most common ONB technique which provides a daytime continence rate up to 92% ( Sheybaee Moghaddam et al., 2022 ). As for incontinent UD procedures, Bricker is ranked as the most representative IC technique which has the advantages of shorter operation time and fewer complications compared with ONB.…”