Tj. Christmas et al., BLADDER REPLACEMENT BY ILEOCYSTOPLASTY - THE FINAL TREATMENT FOR INTERSTITIAL CYSTITIS, British Journal of Urology, 78(1), 1996, pp. 69-73
Objective To develop and improve the technique of bladder replacement
with ileum in patients with interstitial cystitis. Patients and method
s A consecutive series of 27 patients (23 women and four men, median a
ge 61 years, range 40-79) with chronic severe interstitial cystitis re
fractory to conservative therapies underwent cystectomy and bladder re
placement using an ileal pouch. The relief of pain was assessed over a
median follow-up of 30 months (range 2-48). Results Pain relief was c
omplete in all patients and the median neo-bladder capacity was 520 mL
(range 350-700). Only four patients required intermittent self-cathet
erization to drain post-micturition residual urine, Bladder calculi fo
rmed in two patients and were removed successfully at cystoscopy. Conc
lusion Bladder replacement with ileum in the form of the Kock pouch is
an effective surgical treatment for intractable interstitial cystitis
.