Orthotopic neobladder substitution represents an important step in the evolution of urinary diversion. It is now considered the diversion of choice for themajority of patients, bothmale and female, who undergo cystectomy and is the procedurewith which other types of diversion must be compared. Nevertheless, in the preoperative setting, all options for urinary diversion should be explained compr...

Increasing evidence in published reports has suggested that titanium staples may be well tolerated inside the urinary tract. Recently, the Italian Group from Piedmont described an "easy, fast, and reliable" technique of a Y-shaped ileal neobladder that was created during open surgery with nonabsorbable mechanical staples. They observed an acceptable 6% rate of stone formation at a median follow...

We describe a case of minimally invasive endoscopic technique used in the treatment of a large calculus in the intestinal neobladder. The patient had the intestinal bladder created by means of the Vesica Ileale Padovana (VIP) method because of an invasive urothelial carcinoma. The use of the pneumatic lithotripter, inserted through the urethra into the intestinal neobladder, enabled crushing of...

the effectiveness of an enzymatic cocktail, collagenase and trypsin, on the absorptive function of ilealsegment was studied to evaluate the changes within groups after performing ileocystoplasty in an animalmodel. twenty-one female mixed-bred persian dogs were randomized into 7 groups. the groups included: 1) negative control group (ncg) in which no ileocystoplasty was performed (n = 3); 2) pos...

Studer's neobladder lithiasis is a rare but important long term complication of this orthotopic bladder substitute technique. We report a case of a 45 year-old male patient, submitted to a radical cystoprostatectomy with a Studer's orthotopic neobladder 4 years before, presenting bad compliance to recommended urinary habits, increased production of mucus and high post voiding residue. CT scan a...

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 anter...

Urinary tract infection (UTI) is one of the most common complications after radical cystectomy and orthotopic neobladder reconstruction. This study investigated the incidence and implicated pathogen of febrile UTI after ileal neobladder reconstruction and identify clinical and urodynamic parameters associated with febrile UTI. From January 2001 to May 2015, 236 patients who underwent radical cy...