Functional Assessment of the Hautmann Ileal Neobladder with Chimney Modification Using Uroflowmetry and a Questionnaireopen access
- Authors
- Lee, Yong Seong; Jung, Ha Bum; Choi, Don Kyoung; Cho, Sung Tae; Kim, Ki Kyung; Lee, Young Goo
- Issue Date
- 2016
- Publisher
- HINDAWI LTD
- Citation
- BIOMED RESEARCH INTERNATIONAL, v.2016
- Journal Title
- BIOMED RESEARCH INTERNATIONAL
- Volume
- 2016
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74442
- DOI
- 10.1155/2016/8209589
- ISSN
- 2314-6133
2314-6141
- Abstract
- Urinary diversion reconstruction is essential after radical cystectomy and neobladder reconstruction is accepted as a fine option. This study included 51 patients, who underwent radical cystectomy with orthotopic neobladder reconstruction by a Hautmann ileal neobladder with chimney modification from 2006 to 2014. Functional outcomes were evaluated using a questionnaire and uroflowmetry. Perioperative complications were analyzed retrospectively. The mean follow- up period was 36.1 months. Eighty- six percent of patients voided without clean intermittent catheterization (CIC) assistance. CIC was used 1- 2x per day or every time they voided in 8% and 6% of patients, respectively, and 71% of patients were continent. The percentages of patients who used 1, 2, 3- 4, and >= 5 pads per day were 15%, 6%, 2%, and 6%, respectively. Daytime and nighttime continence were achieved in 86% and 69% of patients, respectively. Daily mucus leakage was reported in 69% of patients. The mean maximum neobladder capacity, voided volume, postvoid residual volume, andmaximum flow rate were 413.2 mL, 370.6 mL, 43.7 mL, and 20.8 mL/s, respectively. Eighteen early and 5 late complications developed in 13 and 5 patients, respectively. Reoperations were needed in 7 patients. The Hautmann ileal neobladder with chimney modification provided satisfactory results regarding functional outcomes.
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