Reservatório urinário continente. Uma alternativa para a substituição vesical

Authors

  • Antonio Augusto Ornellas Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • Antonio Luís Correia Seixas Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • Alberto Marota Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • Aristóteles Wisnescky Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • Franz Campos Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • João Rangel de Moraes Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.
  • Alfredo Canalini Serviços de Urologia. Instituto Nacional de Câncer (INCA); Universidade Estadual do Rio de Janeiro (UERJ). Rio de Janeiro (RJ), Brasil.

DOI:

https://doi.org/10.32635/2176-9745.RBC.1992v38n2/3.3078

Keywords:

Continent Urinary Reservoir, Vesical Substitution

Abstract

A divided segment of ileum and colon is used to create a neobladder after cystectomy with a cecourethral anastomosis. This surgical technique for creation of the “Mainz Pouch" uses 15 cm of cecum and ascending colon and two ileal loops of the same length for construction of na urinary reservoir. Such a bladder provides volitional voiding with continence and a large low pressure reservoir with na antireflux ureteral anastomosis. Four patients underwent a Mainz Pouch procedure for total bladder substitution after a standard nerve-sparing cystoprostatectomy. Follow-up ranged from eight to 14 months. The four patients have continence and they are completely dry day and night. Three patients empty the neobladder at normal intervals spontaneousiy. One patient has erections and sexualintercourses.

Downloads

Download data is not yet available.

References

AMENT ME, SHIMODA SS, SAUNDERS DR. Pathogenesis of steatorrhea in three cases of small intestinal syndrome. Gastroenterology 1972; 63:728. DOI: https://doi.org/10.1016/S0016-5085(19)33206-8

BENCHEKROUN A. Continent caecai biadder. Eur Urol 1977; 3: 248. DOI: https://doi.org/10.1159/000472108

BIHRLE R, FOSTER RS, STEIDLE CP, ADAMS MC, WOODBURY PW, SUTTON GP, McNULTY A. Creation of a transverse colon - gastric composite reservoir: a new technique. J Urol 1989; 141: 1217. DOI: https://doi.org/10.1016/S0022-5347(17)41224-9

CAMEY M, Le DUC A. Lenterocystoplastie aprés cystoprostatectomie totale pour cancer de vessie. Indications, technique operatoire, surveiilance et resultats sur vingt-sept cas. Ann Urol 1979; 13: 114.

DUCKETTJW.SNYDER HM. Continent urinay diversion: variations on the mitrofanoff principie. J Urol 1986; 136; 58. DOI: https://doi.org/10.1016/S0022-5347(17)44725-2

HARTMANN RE, EGGHARNT G, FROHNEBERG D, MILLER K. The ileal neobladder. J Urol 1988; 139: 39. DOI: https://doi.org/10.1016/S0022-5347(17)42283-X

KALSER MH, ROTH JLA, TUNEN H. Relation of small bowell resection to nutrition in man. Gastroenterology 1960; 38:605. DOI: https://doi.org/10.1016/S0016-5085(60)80035-2

KHAFAGY MN, EL-KALAWY M. JBRAHIM A, SAFA H, MEGUID A, BASSIONI M. Radical cystectomy and ileocecal bladder. Reconstruction for carcinoma of the urinary bladder. A study of 130 patients. Br J Urol 1987; 60: 60. DOI: https://doi.org/10.1111/j.1464-410X.1987.tb09135.x

KOCK NG, NILSON AE, NORLEN LI, SUNDIN T, TRASTI H. Urinary diversion via a continent ileum reservoir: clinical experience. Scand J Urol Nephrol 1978; 49:23.

KOSKO JW, KURSH ED, RESNICK Ml. Metabolic complications of urologic intestinal substitutes. Urol Clin N Am 1986; 13:193. DOI: https://doi.org/10.1016/S0094-0143(21)01728-6

LIESKOWSKY G, BOYD SD, SKINNER DG. Management of late complications of the kock pouch form of urinary diversion. J Urol 1987; 137: 1146. DOI: https://doi.org/10.1016/S0022-5347(17)44430-2

LIGHT JK, ENGELMANN UH. Le bag: total replacement of the bladder using an ileocolonicpouch. J Urol 1986; 136: 27. DOI: https://doi.org/10.1016/S0022-5347(17)44715-X

LYTTON B, GREENOF. Urodynamic studies in patients undergoing bladder replacement surgery.J Urol 1989; 141: 1394. DOI: https://doi.org/10.1016/S0022-5347(17)41320-6

MARSHALL FF. Creation of ileocolic bladder after cystectomy. J Urol 1988; 139: 1264. DOI: https://doi.org/10.1016/S0022-5347(17)42885-0

MONTIE JE, PONTES JE, SMITH EM. Selection of the type of urinary diversion in conjunction with radical cystectomy. J Urol 1987; 137: 1154. DOI: https://doi.org/10.1016/S0022-5347(17)44432-6

MURRAY K, NURSE DE. MURDY AR. Secretomotor function of intestinal segment used in lower urinary tract reconstruction. Br J Urol 1987: 60: 532. DOI: https://doi.org/10.1111/j.1464-410X.1987.tb05037.x

PONTES JE. Continent urinary diversion using a sigmoid reservoir. Urology 1987; 29: 629. DOI: https://doi.org/10.1016/0090-4295(87)90108-7

THÜROF JW, ALKEN P, RIEDMILLER H, ENGELMANN U, JACOBI GH, HOHENFELLNER R. The Mainz Pouch (mixed augmentation iieum’n zecum) for bladder augmentation and continent diversion. World J Urol 1985; 3:170. DOI: https://doi.org/10.1159/000472481

WALSH PC, DONKER PJ. Impotence following radical prostatectomy-insight into etiology and prevention. J Urol 1982; 128: 492. DOI: https://doi.org/10.1016/S0022-5347(17)53012-8

WEBSTER GD, BERTRAM RA. Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve. J Urol 1986; 135: 465. DOI: https://doi.org/10.1016/S0022-5347(17)45693-X

Downloads

Published

2023-07-26

How to Cite

1.
Ornellas AA, Seixas ALC, Marota A, Wisnescky A, Campos F, Moraes JR de, Canalini A. Reservatório urinário continente. Uma alternativa para a substituição vesical. Rev. Bras. Cancerol. [Internet]. 2023 Jul. 26 [cited 2024 May 19];38(2/3):83-9. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3078

Issue

Vol. 38 No. 2/3 (1992): Apr./Sept.

Section

ORIGINAL ARTICLE

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Most read articles by the same author(s)