Detubularized folded O-shaped ileal bladder.

Wen-Horng Yang, J. S. Lin

Research output: Contribution to journalArticle

Abstract

Using a submucosal needle tunneling technique for ureteral implantation, detubularized folded O-shaped ileal bladders were created for seven patients in need of bladder replacement. A segment of ileum of only 300 to 400 mm in length was required. Anastomosis of the reservoir to the urethra was simply performed by tailoring the ileum to reduce tension at the anastomosis site. Follow-up periods ranged from 24 to 46 months. Excellent upper tract function and good evacuation function with minimal residual urine were demonstrated. Urodynamic studies revealed a mean bladder capacity of 367 mL, with low intra-ileobladder pressure. All patients are continent during the day. Mild enuresis was noted in three patients. No reflux was noted on follow-up voiding cystourethrography. This type of ileal bladder is simple to create and provides reliable results. The presence of a short mesentery is not a serious limiting factor.

Original languageEnglish
Pages (from-to)322-326
Number of pages5
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume94
Issue number6
Publication statusPublished - 1995 Jan 1

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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