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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


GARCIA GARCIA, Adolfo et al. Orthotopic ileocystoplasty results in patient presenting vesical tumor. Rev Cubana Cir [online]. 2010, vol.49, n.1. ISSN 0034-7493.

INTRODUCTION: The bladder cancer is considered a health problem in Cuba and worldwide. The aim of radical cystectomy and its therapeutical variants is to cure or control the disease and it is necessary the creation of a reservoir very similar to bladder and nowadays it is working in creation and improvement of the neo-bladders from an intestinal segment. The aim of present research was to assess the orthotopic ileocystoplasty results as urine derivative procedure after total cystectomy. METHODS: A prospective, retrospective and descriptive study was conducted in 40 patients seen in "Hermanos Ameijeiras" Clinical Surgical Hospital of Ciudad de La Habana between 2000 and 2008. The information's source was the patient clinical expedients and data were processed by automated means. RESULTS: The higher incidence was found inpatients aged 65. Enuresis was the predominant urinary incontinence and most of patients had voluntary urination. Seven patients had hydronephrosis and reservoir fistulae were related to radiotherapy. Mortality rate was of 7,5%. CONCLUSIONS: Orthotopic ileocystoplasty is a acceptable vesical substitute in patients presenting with vesical tumors.

Keywords : Orthotopic ileocystoplasty; vesical replacement; vesical tumor.

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