Short‐Term Functional and Urodynamic Outcome of W‐ileal Orthotopic Neobladder with Serosa‐Lined Tunneled Uretero‐Ileal Anastomosis

Abstract

The index ONB has reasonable storage and voiding characteristics but with a rider of nocturnal urinary incontinence.

Urodynamic Parameters and Continence Outcomes in Asymptomatic Patients with Ileal Orthotopic Neobladder: A Systematic Review and Metanalysis

“…Both non-invasive and invasive UDS data are of outmost importance in the functional evaluation of patients with ONB, representing the only method to objectively assess the function of these neo-reservoirs. UDS in patients with ONB is not a new effort, since multiple studies have been conducted to investigate long-term changes in urodynamic parameters or to compare differences in urodynamic parameters between orthotopic neobladders with various intestinal segments [10][11][12][14][15][16][17][18][19][21][22][23][25][26][27]29,30,33,34,39,[42][43][44][47][48][49][52][53][54][55][56][57]64,65]. Unfortunately, the timing from the surgery to the UDS in the neobladder is usually not adequately defined.…”

“…Concerning the voiding phase Qmax, PVR and ONB pressure at MCC were more commonly reported (24 studies, 40.7%) [7,9,14,15,19,21,[23][24][25]27,29,34,37,[39][40][41]43,44,46,47,52,57,64,65]. The number of patients recurring to CIC is reported in 3 (5.1%) studies [13,37,52].…”

“…The vast majority of articles included in our SR were retrospective, with only a few (28.8%) prospective trials [8,12,13,15,[21][22][23]25,33,46,48,49,53,60,[63][64][65]. Only 13 (22%) report institutional review board approval [8,[13][14][15][20][21][22]25,33,40,53,64,65].…”

“…Technical issues are summarized in Table 3. Only 11 studies [8,[11][12][13]18,21,37,38,52,64,65] reported the free uroflowmetry outcomes as performed before the invasive UDS evaluation.…”

“…Concerning the filling phase of the UDS, the most reported parameters (39 studies, 66.1%) were MCC and compliance [7,8,[12][13][14][15][16][19][20][21][22][23][24][25]29,30,[32][33][34][35]37,38,40,41,43,[45][46][47]49,[51][52][53]56,58,60,[62][63][64][65]. Thirteen studies [8,21,29,34,37,45,[48][49][50]52,56,59,…”