Orthotopic Bladder Substitution

Bladder cancer

“…Patients with an increase in body mass index (BMI) have a higher rate of surgical site infections and urinary tract infections than neobladder and ileal conduit. [27][28][29] Ureteral ileal anastomotic stricture, incontinence related to the one-way valve, parastomal hernia, stomal stenosis, stone formation in the Bladder cancer diagnostics [13][14][15][16][17]…”

“…[27][28][29][30] Neobladder is contraindicated in patients who have urethral cancer, metastatic bladder cancer, intestinal disease from inflammatory bowel disease or radiation, hepatic or renal insufficiency, the inability to cope with postoperative incontinence, and are not able to perform self-catheterization because of cognitive or physical reasons. [27][28][29][30] Ureteroileal anastomotic stricture, stress incontinence, nocturnal incontinence, urinary tract infection, and stone formation in the neobladder are possible complications. [27][28][29][30] The neobladder may result in metabolic changes, especially when the colon is used in the surgical procedure, resulting in hyperchloremic metabolic acidosis and malabsorption syndromes, including vitamin B-12, vitamin D, hypocalcemia, hypomagnesemia, and hypokalemia.…”

“…[27][28][29][30] Ureteroileal anastomotic stricture, stress incontinence, nocturnal incontinence, urinary tract infection, and stone formation in the neobladder are possible complications. [27][28][29][30] The neobladder may result in metabolic changes, especially when the colon is used in the surgical procedure, resulting in hyperchloremic metabolic acidosis and malabsorption syndromes, including vitamin B-12, vitamin D, hypocalcemia, hypomagnesemia, and hypokalemia. Patients may benefit from calcium and vitamin D supplementation to promote bone health.…”

“…29,30 Renal function should be continuously monitored. 29,30 Patients with a neobladder need to relearn how to urinate. [27][28][29][30] Urinating in a sitting position using deep breathing and a gentle Valsalva maneuver relaxes the pelvic muscles to establish urinary flow.…”

“…[27][28][29][30] Urinating in a sitting position using deep breathing and a gentle Valsalva maneuver relaxes the pelvic muscles to establish urinary flow. [27][28][29][30] Pelvic muscle strength and tone should be assessed before and after surgery to promote urinary continence. [27][28][29][30] Pelvic muscle tone promotes bowel, bladder, and sexual function.…”