caa a22 4500 475811437 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s001920070030 doi (NATIONALLICENCE)springer-10.1007/s001920070030 Orthotopic Ileal Neobladder in Females: Impact of the Urethral Resection Line on Functional Results [Elektronische Daten] [R. E. Hautmann, R. de Petriconi, K. Kleinschmidt, H.-W. Gottfried, J. E. Gschwend] Abstract:: We present our functional experience with orthotopic bladder replacement in female patients dependent on the urethral resection line. Between November 1986 and July 1998 42 women underwent orthotopic urinary tract reconstruction with an ileal neobladder at our institution: 26 patients underwent radical cystectomy (RCx) with subsequent ileal anastomosis to the urethra, and 16 underwent simple cystectomy (SCx) with preservation of the bladder neck. Fourteen of 22 patients following RCx and 3 of 14 patients following bladder neck-sparing cystectomy void naturally. Clean intermittent catheterization is necessary in 8 of 22 and 11 of 14 patients, respectively. Perfect continence with no pads at 1 year postoperatively was achieved in 15 of 18 evaluable patients following RCx and 10 of 11 patients following bladder neck sparing. Incontinence requiring one or more pads is present in 3 of 18 patients and 1 of 11 patients, respectively. Subjectively satisfactory continence was achieved in 16 of 18 patients following RCx and in all patients following bladder neck-sparing surgery. Our conclusions are that radical cystectomy as well as a bladder neck-sparing cystectomy does provide satisfactory functional results in the majority of patients. However, the urethral resection line does slightly influence the rate of incontinence as well as the requirement for intermittent catheterization. RCx does translate into a lesser requirement for CIC, whereas bladder neck sparing results in slightly better continence rates. Springer-Verlag London Limited, 2000 Key words:Female - Functional results - Ileal neobladder - Orthotopic lower urinary tract reconstruction nationallicence Hautmann R. E. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut de Petriconi R. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut Kleinschmidt K. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut Gottfried H.-W Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut Gschwend J. E. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut https://doi.org/10.1007/s001920070030 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920070030 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hautmann R. E. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut NATIONALLICENCE 700 1- de Petriconi R. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut NATIONALLICENCE 700 1- Kleinschmidt K. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut NATIONALLICENCE 700 1- Gottfried H.-W Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut NATIONALLICENCE 700 1- Gschwend J. E. Faculty of Medicine, University of Ulm, Ulm, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer