Ces Urol 2005, 9(1):4-8 | DOI: 10.48095/cccu2005001

Continence in the patients with orthotopic diversion after the cystectomy

M Broďák, A. Hafuda, P. Moravek, P. Prošvíc, M. Louda

Urologická klinika LF UK a FN Hradec Králové, přednosta doc. MUDr. Petr Morávek, CSc.

Objective: Aim of study is evaluation of continence in the patients with orthotopic diversion after the cystectomy.

Materials and Methods: Authors assessed group of 57 patients, who were operated in Department of Urology in Hradec Králové in years 1995-2001. All patients underwent cystectomy for locally advanced bladder cancer with orthotropic pouch. In 55 patients there was created pouch VIP (Vesica lleale Padovana) and in 2 W-pouch. Patients were evaluated subjectively questioning on subjective appreciation of continence by interview and objectively per urodynamic study.

Results: According to subjective appreciation is 19 patients continent, 28 patients continent with episodes of nocturnal incontinence, 7 patients with incontinence, 3 patients with overcontinence. Urodynamically was found out: Average length of functional urethral profile is 26 cm; maximal closure pressure is 86 cm H₂0; maximal capacity is 572 ml and compliance is 22 cm H₂0/ml.

Conclusion: Majority of patients is satisfied with continence after cystectomy. These results support findings of urodynamic study.

Keywords: cystectomy, orthotropic pouch, inkontinence, cystometry, ureteral pressure profile

Published: January 1, 2005