Abstract:
Introduction: The major advantage of the continent urinary reservoirs is an improving of
the quality of life and of the corporal image in the radical cystectomy patients.
Materials and methods: A segment of about 30 - 35 cm is isolated configurated in a
"U " form and detubularized. A suture is made between the two arms of the "U " and an
intestinal plate is obtained. After the partial closing of the anterior segment with 3-0 PDS,
anastomoses is practised to the urethra on a 20 Ch catheter with 6 points of 3-0 Vicryl. The
ureters are implanted according to the modified Le Due Carney technique and the pouch
is closed.
Results: At the Urologic Clinic of "Fundeni" Hospital, 108 substitution cystoplasty have
been performed. The studying group is represented by 51 cystoplasties. Carney II technique have been used in 10 cases. The evolution of the patients has been without major
complications, with a very good diurnal and nocturnal continence.
Conclusions: The relative facile and rapidly performing, with a small rate of complications and a good social and professional integration of the patient, all together make this
type of urinary diversion to be into the attention of urologists who are practising the substitution cystoplasty.