THE ILEAL URETER NEOBLADDER IS ASSOCIATED WITH A HIGH SUCCESS AND A LOW COMPLICATION RATE

Purpose: Several different methods to construct a bladder substitute a fter cystectomy have been described. We evaluated our experience with the Studer ileal ureter neobladder during the last 5 years. Materials and Methods: We reviewed retrospectively the results in 32 patients wh o underwent construction of a slightly modified ileal neobladder from that originally described. Mean followup was 25 months (range 6 to 68) . Results: Patients experienced few complications and only 1 required reoperation. Daytime and nighttime continence rates were 94 and 74%, r espectively. One patient sustained a ureteral stricture resulting in h ydronephrosis (1 of 64 renal units). Conclusions: The results reveal t he ileal neobladder to be an easily constructed pouch with a low compl ication rate, and a high success rate in regard to continence and the establishment of adequate capacity at low pressure. Within the study p eriod upper tract preservation was excellent. However, a 10 to 15-year followup is indicated to confirm our initial results.