Voiding Symptoms and Urodynamic Findings in Patients with Modified Ileal Neobladde

Abstract

The aim of our study was to find the cause of urinary incontinence and voiding dysfunction in patients undergoing radical cystectomy and orthotopic bladder replacement with modified ileal neobladder (Reddy). Twenty-eight incontinent patients (operated on between 1988 and 2004) were involved in our examination. Based on the complaints of the patients, continence status was evaluated and divided into two groups: group I: partially incontinent (only night-time incontinence) n = 11 (39.3%) and group II: totally incontinent (night-time and daytime incontinence) n = 17 (60.7%). Detailed urodynamic examination (enterocystometry and urethral pressure profile) in addition to involuntary neobladder contractions and capacity detection were carried out on all patients. Furthermore resting pressure and maximal voluntary contraction ability of the sphincter were determined and statistically analyzed in both groups. Significant difference was noticed in resting pressure and maximal voluntary contraction ability of the sphincter among the partially incontinent and totally incontinent patients. Frequency, intensity and duration of involuntary neobladder contractions also showed significant differences between the two groups. Incontinence of neobladder depends not only on the destruction of resting and contraction capability of the urethral sphincter, but also on the presence or absence of involuntary contractions in the wall of the neobladder and decreased capacity of the neobladder.

Gastric Pouch After Simple or Radical Cystectomy for Benign and Malignant Bladder Disease

“…Capacity of neobladder is an important factor for incontinence and involuntary contraction ( 11 ). The capacity of gastric neobladder like other neobladders might increase postoperatively ( 11 ).…”

“…Capacity of neobladder is an important factor for incontinence and involuntary contraction ( 11 ). The capacity of gastric neobladder like other neobladders might increase postoperatively ( 11 ). The final capacity of gastric neobladder can be determined six months ( 11 ) and one and a half years after the operation ( 12 ).…”

“…The capacity of gastric neobladder like other neobladders might increase postoperatively ( 11 ). The final capacity of gastric neobladder can be determined six months ( 11 ) and one and a half years after the operation ( 12 ). Wang et al reported their experiences on nine cases of gastric neobladder by performing it after laparoscopic radical cystectomy, showing a good capacity of pouch and continence ( 3 ).…”

Egészségügyi technológiák gazdasági elemzése krónikus betegségekben: lehetőségek és kihívások Magyarország számára

“…Since BC contributes to the highest cost per patient from diagnosis to death and is the fifth most expensive cancer to treat; it might be an important goal to estimate the CoI in Hungary in order to provide local data for decisions on resource allocation.According to my best knowledge and review of the database of Hungarian journals (www.matarka.hu), Hungarian data is available regarding neither the HRQoL and CoI of BC patients; nor the cost-effectiveness of the applied therapies. Hungarian authors have published studies dealing with the therapies in BC, however, those were principally associated with diagnostic issues, risk assessment, survival, recurrence; and a few studies evaluated functional outcomesKondás et al, [1996];Samodai et al, [1996];Romics et al, [2006];Keszthelyi et al, [2009];Szűcs et al, [2012]).…”

Προσδιορισμός Των Υδροδυναμικών Συνθηκών Λειτουργίας Των Ορθοτόπων Νεοκύστεων Με Κλασική Και Συνεχή Φορητή Υδροδυναμική Μελέτη

“…Το πιο συχνό σύμπτωμα των ασθενών αυτών είναι η ακράτεια ούρων και ειδικά η νυκτερινή μορφή της. Αναφερόμενα ποσοστά ημερήσιας ακράτειας κυμαίνονται από 0-65%, ενώ νυκτερινής 3%,7% ή και 97%[99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115] . Αυτές οι μεγάλες διακυμάνσεις μπορούν να αποδοθούν, κυρίως, σε διαφορετικές μεθοδολογικές πρακτικές εκτίμησης του εννοιολογικού προσδιορισμού της ακράτειας όσο και του χρονολογικού μετεγχειρητικού παραθύρου που αυτή διερευνήθηκε.…”