Modified Ghoneim&amp;rsquo;s Technique Using a Single Serous&amp;ndash;Lined Extramural Tunnel in Detubularized Orthotopic Ileal W&amp;ndash;Bladder

Siracusano, Salvatore; Liguori, Giovanni; Trombetta, Carlo; d'Aloia, Gianluca; Belgrano, E.

doi:10.1159/000020299

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…The feasibility of this procedure was initially tested in an animal model [23] and was followed by its clinical application. Our results, and those reported by others, are summarized in Table 3[10,16,24–34]. The rate of anastomotic strictures was 0–9% while that of reflux was 0–11%.…”

Section: Techniques For Preventing Reflux Are Followed By a Higher Rasupporting

confidence: 80%

Uretero‐intestinal anastomosis in low‐pressure reservoirs: refluxing or antirefluxing?

Ghoneim

Osman

2007

BJU International

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Section: Techniques For Preventing Reflux Are Followed By a Higher Rasupporting

confidence: 80%

Uretero‐intestinal anastomosis in low‐pressure reservoirs: refluxing or antirefluxing?

Ghoneim

Osman

2007

BJU International

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“…Later, they reported their further clinical experience with a large group of patients, and maintained several advantages of the technique with a low anastomotic stricture rate of 3.8%[19]. The technique was popularized and reported by several centres worldwide, keeping the low (0–4%) stricture rate [5,20–22] even in a long‐term analysis [23,24]. Notably, only two studies reported higher stricture rates on using this technique [12,25].…”

Section: Discussionmentioning

confidence: 99%

Comparison between a serous‐lined extramural tunnel and T‐limb ileal procedure as an antireflux technique in orthotopic ileal substitutes: a prospective randomized trial

et al. 2009

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OBJECTIVE To compare the functional results from a prospective randomized trial of two different reflux‐prevention techniques for ileal bladder substitution. PATIENTS AND METHODS In all, 60 patients with invasive bladder cancer were randomized to receive either a serous‐lined extramural tunnel (group 1) or T‐limb ileal procedure (group 2) as an antireflux technique for the ileal substitute. The preoperative evaluation included intravenous urography, radioisotope renography to evaluate glomerular filtration rates (GFRs) and renal cortical imaging with 99mTc‐ dimercaptosuccinic acid to assess parenchymal scarring. Evaluable patients were re‐assessed by the same imaging, and by ascending studies. RESULTS The follow‐up included 27 patients (49 units) in group 1 and 23 (45 units) in group 2, with a mean (sd) follow‐up of 6.3 (0.5) and 7.4 (1.9), respectively. Uretero‐ileal strictures were diagnosed in one renal unit in each group (P = 0.5). Ascending studies showed no reflux in any patients in group 1, while 13 renal units (29%) in group 2 were refluxing (P < 0.01). There was progressive cortical scarring with or with no significant reduction in GFR (>25%) in three and four renal units in groups 1 and 2, respectively. Among the 13 refluxing units in group 2, three showed a significant deterioration in GFR and one renal unit was diagnosed with progressive cortical scarring. CONCLUSION Both procedures provided a low rate of anastomotic stricture, with acceptable preservation of renal function. The serous‐lined extramural tunnel provided a more effective antireflux mechanism.

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“…The ileourethral anastomosis is then performed with the sutures tied from "inside" the neobladder. Once the ileal neobladder is situated in the pelvis and the urethral sutures are tied, the ureters are implanted from inside the neobladder through a small incision in the ileum at a convenient site as reported by Abol-Enein (Fig.1) or in monolateral fashion as described by Siracusano [49]. The remaining portion of the anterior wall is then closed with a running absorbable suture.…”

Section: Models Of Onrmentioning

confidence: 99%

Current Trends in Urinary Diversion in Men

Siracusano¹,

Ciciliato²,

Visalli³

et al. 2012

Bladder Cancer - From Basic Science to Robotic Surgery

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Modified Ghoneim’s Technique Using a Single Serous–Lined Extramural Tunnel in Detubularized Orthotopic Ileal W–Bladder

Cited by 5 publications

References 22 publications

Uretero‐intestinal anastomosis in low‐pressure reservoirs: refluxing or antirefluxing?

Uretero‐intestinal anastomosis in low‐pressure reservoirs: refluxing or antirefluxing?

Comparison between a serous‐lined extramural tunnel and T‐limb ileal procedure as an antireflux technique in orthotopic ileal substitutes: a prospective randomized trial

Current Trends in Urinary Diversion in Men

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