The Effect of Anterior Suspension Stitch at W’’-Shaped İleal Neobladder on Continence
نویسندگان
چکیده
Objective: To evaluate the effect of anterior suspension stitch during radical cystectomy and ileal neobladder urinary diversion on continence. Methods: 176male patients who underwent radical cystectomy and neobladder urinary diversion because of bladder cancer in our clinic. We analyzed 75 patientsretrospectively, 36 with the placement of anterior suspension stitch Group 1 and 39 without anterior suspension stitch Group 2. Both groups were compared in terms of age, maximum urinary flow rate, post voiding residual urine volume, total, nighttime and daytime continence status. Incontinence status was evaluated by International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) Results: The two groups had no significant differences in their age, post voiding residual urine volume and maximum urinary flow rate. Total, nighttime and daytime continence rates were better in group 1. The mean International Consultation on Incontinence Questionnaire-Short Form score was significantly lower in group 1 (p<0.05). Conclusions: We found that the continence rates was significantly higher in patients with the anterior suspension stitch. This technique improves the quality of life of patients in the way of incontinence. The anterior suspension stitch during radical cystectomy and neobladder urinary diversion is a reliable and applicable procedure.
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