Substitution cystoplasty with detubularized ileum

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.