Skip to main content

Orthotopic Reconstruction Following Radical Cystectomy: the USC Experience

  • Chapter
Carcinoma of the Bladder

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

  • 163 Accesses

Abstract

Since the early 1900s, innovative surgeons have persistently pursued how best to replace the original bladder removed for either benign or malignant disease. As we enter the mid 1990s, the ultimate goals of lower urinary tract reconstruction have become more than simply the diversion of urine and protection of the upper urinary tract. Contemporary objectives of lower urinary tract reconstruction should include elimination of the need for a cutaneous stoma, urostomy appliance, or intermittent catheterization, while maintaining a more natural voiding pattern allowing volitional micturition through the intact native urethra. The advances in urinary diversion have been made in an effort to provide patients with a more normal life-style and an improved self-image following removal of the bladder.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Berglund B, Kock NG, Norlen L, Philison BM (1987) Volume capacity and pressure characteristic of the continent ileal reservoir used for urinary diversion. J Urol 137: 29–34

    PubMed  CAS  Google Scholar 

  • Bricker EM (1950) Bladder substitution after pelvic evisceration. Surg Gynecol Obstet Am 30: 1511–1521

    CAS  Google Scholar 

  • Camey M, Le Duc A (1979) L’enterocystoplastie avec cystoprostatectomie totale pour cancer de la vessie. Ann Urol (Paris) 13: 114

    Google Scholar 

  • Colleselli K, Strasser H, Moriggl B, Stenzl A, Poisel S, Bartsch G (1994) Hemi-Kock to the female urethra: anatomical approach to the continence mechanism to the female urethra. J Urol 151: 500A (abstract 1089)

    Google Scholar 

  • Crocitto LE, Simpson J, Wilson TG (1994) Bladder augmentation in the prevention of cyclophosphamide induced hemorrhagic cystitis in the rat model. J Urol 151: 379A (abstract 608)

    Google Scholar 

  • Davidsson T, Poulsen AL, Hedlund H, et al. (1992) A comparative urodynamic study of the ileal and the colonic neobladder. Scand J Urol Nephrol 142 (Suppl): 143

    Google Scholar 

  • Elmajian DA, Stein JP, Esrig D, et al. (1996) The Kock ileal neobladder: updated experience in 295 male patients. J Urol 156: 920–925

    Article  PubMed  CAS  Google Scholar 

  • Freeman JA, Esrig D, Stein JP, Skinner DG (1994) Management of the patient with bladder cancer. Urethral recurrence. Urol Clin North Am 21: 645–651

    PubMed  CAS  Google Scholar 

  • Freeman JA, Tarter TA, Esrig D, et al. (1996) Urethral recurrence in patients with orthotopic ileal neobladders. J Urol 156: 1615–1619

    Article  PubMed  CAS  Google Scholar 

  • Gilchrist RK, Merricks JW, Hamlin HH, Rieger IT (1950) Construction of a substitute bladder and urethra. Surg Gynecol Obstet 90: 752–760

    PubMed  CAS  Google Scholar 

  • Ginsberg D, Huffman JL, Lieskovsky G, Boyd S, Skinner DG (1991) Urinary tract stones: a complication of the Kock pouch continent urinary diversion. J Urol 145: 956–959

    PubMed  CAS  Google Scholar 

  • Grossfeld GD, Stein JP, Bennett CJ, Ginsberg DA, Boyd SD, Lieskovsky G, Skinner DG (1996) Lower urinary tract reconstruction in the female using the Kock ileal reservoir with bilateral ureteroileal urethrostomy: update of continence results and fluorourodynamic findings. Urology 48: 383–388

    Article  PubMed  CAS  Google Scholar 

  • Hautmann RE, Paiss T, Petriconi R (1996) The ileal neobladder in women: 9 years of experience with 18 patients. J Urol 155: 76–81

    Article  PubMed  CAS  Google Scholar 

  • Hinman F Jr (1988) Selection of intestinal segments for bladder substitution: physical and physiological characteristics. J Urol 139: 519–523

    PubMed  Google Scholar 

  • Kock NG (1971) Ileostomywithout external appliances: a survey of 25 patients with intra-abdominal intestinal reservoir. Ann Surg 173: 545–550

    Article  PubMed  CAS  Google Scholar 

  • Kock NG, Nilson AE, Nilsson LO, Norlen LJ, Phillipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128: 468–476

    Google Scholar 

  • Lieskovsky G, Boyd SD, Skinner DG (1991) Cutaneous Kock pouch urinary diversion. Probl Urol 5: 256–262

    Google Scholar 

  • Lytton B, Green DF (1989) Urodynamic studies in patients undergoing bladder replacement surgery. J Urol 141: 1394–1397

    PubMed  CAS  Google Scholar 

  • Norlen L, Trasti H (1978) Functional behavior of the continent ileum reservoir for urinary diversion: an experimental and clinical study. Scand J Urol Nephrol Suppl 49: 33

    Google Scholar 

  • Richie JP, Skinner DG, Waisman J (1974) The effect of reflux on the development of pyelonephritis in urinary diversion: an experimental study. J Surg Res 16: 256–261

    Article  PubMed  CAS  Google Scholar 

  • Sakamoto N, Tsuneyoshi M, Naito S, Dumazawa J (1993) An adequate sampling of the prostate to identify prostatic involvement by urethelial carcinoma in bladder cancer patients. J Urol 149: 318–321

    PubMed  CAS  Google Scholar 

  • Shapiro SR, Levowitz R, Colodney H (1975) Fate of 90 children with ileal conduit urinary diversion a decade later: analysis of complications, pyelography, renal function and bacteriology. J Urol 114: 289

    PubMed  CAS  Google Scholar 

  • Simon J (1852) Ectopica vesicae (absence of the anterior walls of the bladder and pubic abdominal parietes): operation for directing the orifices of the ureters into the rectum; temporary success; subsequent death; autopsy. Lancet 2: 568–569

    Article  Google Scholar 

  • Skinner DG, Lieskovsky G (1988) Technique of radical cystectomy. In: Skinner DG, Lieskovsky G (eds) Diagnosis and management of genitourinary cancer, vol I. Saunders, Philadelphia, pp 605–621

    Google Scholar 

  • Skinner DG, Boyd SD, Lieskovsky G (1984a) Clinical experience with the Kock continent ileal reservoir for urinary diversion. J Urol 132: 1101–1107

    PubMed  CAS  Google Scholar 

  • Skinner DG, Lieskovsky G, Boyd SD (1984b) Technique of creation of a continent internal ileal reservoir ( Kock pouch) for urinary diversion. Urol Clin North Am 11: 741–749

    PubMed  CAS  Google Scholar 

  • Skinner DG, Boyd SD, Lieskovsky G, Bennett C, Hopwood B (1991) Lower urinary tract reconstruction following

    Google Scholar 

  • cystectomy: experience and results in 126 patients using the Kock ileal reservoir with bilateral ureteroileal urethrostomy. J Urol 146:756–760

    Google Scholar 

  • Stein JP, Huffman JL, Freeman JA, Boyd SD, Lieskovsky G, Skinner DG (1994a) Stenosis of the afferent anitreflux valve in the Kock pouch continent urinary diversion: diagnosis and management. J Urol 338–340

    Google Scholar 

  • Stein JP, Stenzl A, Esrig D, et al. (1994b) Lower urinary tract reconstruction following cystectomy in women using the Kock ileal reservoir with bilateral ureteroileal urethrostomy: initial clinical experience. J Urol 152: 1404–1408

    PubMed  CAS  Google Scholar 

  • Stein JP, Cote RJ, Freeman JA, et al. (1995) Lower urinary tract reconstruction in women following cystectomy for pelvic malignancy; a pathological review of female cystectomy specimens. J Urol 154: 1329–1333

    Article  PubMed  CAS  Google Scholar 

  • Stein JP, Freeman JA, Esrig D, et al. (1996a) Complications of the afferent anitreflux valve mechanism in the Kock ileal reservoir. J Urol 1579–1584

    Google Scholar 

  • Stein JP, Grossfeld G, Freeman JA, et al. (1996b) Orthotopic lower urinary tract reconstruction in women using the Kock ileal neobladder: updated experience in 27 patients. J Urol 155: 399A (abstract 353)

    Google Scholar 

  • Wood DP Jr, Montie JE, Pontes JE, Levin HS (1989) Identification of transitional cell carcinoma of the prostate in bladder cancer patients: a prospective study. J Urol 142: 83–85

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Stein, J.P., Boyd, S.D. (1998). Orthotopic Reconstruction Following Radical Cystectomy: the USC Experience. In: Petrovich, Z., Baert, L., Brady, L.W. (eds) Carcinoma of the Bladder. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60258-0_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60258-0_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64323-1

  • Online ISBN: 978-3-642-60258-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics