Orthotopic substitution cystoplasty in female patients after anterior pelvectomy for infiltrative bladder tumour

Abstract

Introduction: Hubner's studies have established: the continuity of the bladder with urethra is no t a compulsory condition for the urethral closing mechanism. Colleselli shows that the preservation of the musculature of 2/3 out of inferior part of the urethra with its innervation is important for fem ale continence. Stenzl's pathological studies identify the group of female patients to whom the substitution cystoplasty could be performed. Materials and Methods: This type of substitution cystoplasty has been used on 4 female patients (from a cohort of 51). In 3 cases we used the detubularized sigmoid colon and in 1 case the detubularized ileum - Studer's technique for female patients with bladder tumours pT3NoMoU - G1-3*. Results: The postoperative course was uneventfull. The female patients have been continent day and night. Their neobladder capacity ranged between 350 - 500 cc. Conclusions: Female orthotopic substitution cystoplasty on selected cases is feasible.