The Le Bag Orthotopic Urinary Diversion

Kolettis, Peter N.; Klein, Eric A.; Novick, Andrew C.; Winters, J. Christian; Appell, Rodney A.

doi:10.1097/00005392-199609000-00023

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The operative techniques have been described by other clinicians. 11,12 These orthotopic neobladder operations were performed by a single surgical group. The Institutional Review Board of Southwest Hospital, The Third Military Medical University approved this retrospective investigation.…”

Section: Methodsmentioning

confidence: 99%

Treatment and outcomes of urethral recurrence after orthotopic neobladder replacement in patients with bladder cancer — practice in a single centre

Zhang

Xiong

et al. 2018

J Int Med Res

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ObjectivesTo report on the treatment of urethral recurrence after orthotopic urinary diversion at our institution.MethodsWe retrospectively reviewed clinical information of urethral recurrence in patients who underwent radical cystectomy and orthotopic urinary diversion between January 1998 and January 2013.ResultsOf 341 patients, 282 presented for follow-up (median follow-up: 56 months; range: 1–174 months). Eight patients developed local recurrence of urothelial cancer after radical cystectomy. The rate of urethral recurrence (1.4%) in female patients who underwent orthotopic urinary diversion was lower than in male patients (3.3%). The median (range) time to recurrence was 33 (6–120) months after radical cystectomy and orthotopic urinary diversion. Recurrences were treated by transurethral resection of tumour, urethrectomy, neobladder resection, revision of urinary diversion, adjuvant chemotherapy, or radiation therapy, based on individual circumstances. Survival analysis showed that 5-year cancer-specific survival was significantly higher in patients with urethral recurrence alone (83.3%), compared with patients with other recurrences, including pelvic/abdomen recurrence and distant metastasis (26.8%).ConclusionsEn bloc urethrectomy and revision of urinary diversion remain the principle surgical choices. Selection of transurethral tumour resection was based on tumour stage and was used in carefully chosen patients. Cancer-specific survival might depend on multidisciplinary therapy.

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Section: Methodsmentioning

confidence: 99%

Treatment and outcomes of urethral recurrence after orthotopic neobladder replacement in patients with bladder cancer — practice in a single centre

Zhang

Xiong

et al. 2018

J Int Med Res

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“…The mean capacity was 600 ml (range 244-962), mean urine residual was 90 ml and 8.6% required self-catheterization [84].…”

Section: Experience In Malesmentioning

confidence: 99%

Bladder replacement in women: A new experience

et al. 1997

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Bladder replacement in women in a new experience. In this article the authors reviewed in a critical way the patho-physiological principles involved in the previous male bladder replacement techniques and the results achieved both leading to the recent experience of bladder replacement in women. The authors present the recent acquirements about pelvic surgical anatomy and postcystectomy oncological radicality in female, and the more common surgical techniques for building a neobladder in women with the results achieved up to now. They also examined the problems arising from this exciting but precocious experience which will surely involve the urological community in the future.

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The Le Bag Orthotopic Urinary Diversion

Cited by 2 publications

References 12 publications

Treatment and outcomes of urethral recurrence after orthotopic neobladder replacement in patients with bladder cancer — practice in a single centre

Treatment and outcomes of urethral recurrence after orthotopic neobladder replacement in patients with bladder cancer — practice in a single centre

Bladder replacement in women: A new experience

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