authors
-
Jerzy Lorenz, Tadeusz Niezgoda, Tomasz Szydełko, Janusz Dembowski, Romuald Zdrojowy
- Katedra i Klinika Urologii AM we Wrocławiu
Kierownik Kliniki: prof. dr hab. med. Jerzy Lorenz
keywords
-
bladder bladder carcinoma urinary diversion woman
summary
- In the paper the seven years observation of the women with orthotopic
- ileal neobladder is presented.
- In sixty two years old women, on lOth January 1990, was created orthotopic
- ileal neobladder as urinary diversion after cystectomy.
- At present patient feels good and is fully active, voids every 3 hours. She is
- completely dry in day; sometimes she loses smali amounts of urine in the night.
- The maximal volume of Heal neobladder is 750 ml. The micturition volume
- is 350 ml. At this volume pressure inside the neobladder reaches 35 cm H9O.
- Residual volume of urine after voiding is not greater then 30 ml. There are
- no peristaltic contractions. 1VP and ultrasonography of upper urinary tract
- are normal. There is no evidence of neovesico - ureteral reflux. Metabolic
- changes haven't been detected. The urine culture has revealed the presence
- of Klebsiella oxytoca, without any symptoms of infection.
- In our opinion ileal neobladder can be used as urinary diversion in selected
- female patients but they need permanent urological care.
references
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