Long-term postoperative results of the hautmann ileal orthotopic neobladder reconstruction after radical cystoprostatectomy of bladder cancer

Abstract

U rinary bladder cancer is one of the most serious diseases of the urogenital system, and its treatment is dependent on the time of the diagnosis. pT1 and pT2 are the most suitable clinical and pathohistological stages for the successful surgical treatment of bladder cancer. Such cases are almost entirely treatable and result in the improvement of quality of life and longevity. For good out comes, it is imperative that the disease be diagnosed as soon as possible, so that radical cystoprostatectomy and a orthotopic Hautmann neobladder reconstructions could be performed. An overall analysis of the cases was performed at the Urology Clinic of the University Clinical Center in Prishtina. All surgical cases of orthotopic Hautmann neobladder recon structions were collected in a nonrandomized fashion. Furthermore, complete review of long term effects, the overall state of all the surgical cases, as well as the survival outcomes of this patient cohort, was performed. The surgical treatment of bladder cancer patients with orthotopic Hautmann neobladder reconstruction at the Urology Clinic of the University Clinical Center in Prishtina first begun in 1990. The first patient was A.K. Born in 1926. Postoperatively, no surgical complications were noted, the patient lived in good health with a good quality of life. The patient expired in September of 2015 from old age. In the same year, 1990, another patient was treated with the same method, but unfortunately had expired within 24 hours of the surgery because of anesthesia complications. There was a 9 year hiatus because of the political situation of the '90s in Kosovo. The work resumed in 1999. 25 cases of radical cystoprostatectomy fol lowed by orthotopic Hautmann neobladder reconstructions were performed until 2005. The postoperative state of these patients was closely followed. A complete analysis of the survival rates, especially of cases treated at stages pT1 and pT2, the successful post op longevi ty, as well as the longevity of the most challenging and advanced cases treated with this method, are presented. Overall, patients were mostly continent, and urinated regular ly and spontaneously.