authors
-
Kazimierz Krajka, Arkadiusz Mikszewicz, Wojciech Lauer, Witold Łukiański
- Katedra i Klinika Urologii AM w Gdańsku
Kierownik Kliniki: prof. dr hab. med. K. Krajka
keywords
-
bladder bladder carcinoma Alcini neobladder rotundovaginosuspension
summary
- Objective. Operative techni±ue and clinical evaluation of modified Alcini
- neobladder with rotundovaginosuspension is presented.
- Material and method. Three women (age 63-83) suffering form bladder
- carcinoma pT3aNoMoG2_3 were treated in the last year, by cystectomy with
- creation of modified Alcini neobladder. Elevation of the vaginal stump
- accomplished by suturing in to the round ligament of the uterus enabled
- preservation of the proper urethro-vesical angle.
- Results. All patients had non-complicated post-operative recovery. Thariks
- to avoiding cystostomy and not passing uretheral catheters through the
- neobladder wall it was possible to remove the urethral catheter 10-12 days
- after the operation. All patients had full diurnal and nocturnal continence with
- nocturia of 1-2 times, bladder capacity of 300-350 ml and negligible residual
- volume.
- Conclusions. Achieved results seems to confirm the assumption based on
- anatomical and functional premises. We fill that this type of the operation may
- be a valuable recommendation for urinary diversion in women after cystectomy.
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