A Modified Neobladder Technique: The „I-Pouch“ – Illustration of Surgical Approach and Tricks

Various techniques for orthotopic neobladder (ONB) are currently used and have shown satisfactory oncological and functional outcomes. Among the relevant oncological and functional aspects for long-term follow up is the easy accessibility of the upper urinary tract in urinary diversion for endoscopic monitoring. In addition, variety exists in the amount of ileum needed to create a urinary reservoir. Depending on the ONB technique, up to 60cm of ileum are required, and bowel dysfunction may be a consequence especially when the ileocecal valve is used for the urinary diversion.
Source: Urology - Category: Urology & Nephrology Authors: Tags: “Show Me How” Video Source Type: research