Evaluation of functional outcomes of Studer ileal orthotopic bladder substitutions

Document Type : Original Article

Authors

1 urology minia

2 Urology Department, Faculty of medicine , Minia University, El-minia, Egypt

3 Urology department, faculty of medicine, El minia, Egypt

4 urology department, faculty of medicine, Ain-shams

5 Urology department faculty of medicine minia university Minia Egypt

Abstract

Background: The most frequent cancer of the urinary system and the second leading cause of mortality from genitourinary cancers is urothelial carcinoma. The usual course of treatment for high-risk non-muscle invasive bladder cancer (NMIBC) and localized muscle-invasive bladder cancer (MIBC) is radical cystectomy (RC). Methods: This one-armed hospital-based clinical trial study included 12 patients who were subjected to radical cystectomy and Studer ileal neo-bladder substitution at the urology department, Minia University, and Ain Shams University Hospital in the period from January 2022 to January 2023.

Results: The mean age in our study was 63 years, with highest incidence in the age group (61:70 years), the mean blood loss and blood transfusion was 1166.5 ml, the mean operative time was 3.6 hours, total diurnal continence was achieved in 7 patients (58.5%) while 4 patients (33.5%) developed stress incontinence, and total nighttime continence was achieved in 5 patients (41.5%).

Conclusion: Based on functional outcomes, we determined that Studer neobladder repair is safe in terms of effectiveness.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 05 February 2024

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