ILEAL ORTHOTOPIC BLADDER SUBSTITUTES - WHAT WE HAVE LEARNED FROM 12 YEARS EXPERIENCE WITH 200 PATIENTS

The perfect bladder substitute has not been devised yet. The ileal ort hotopic bladder substitute, however, provides adequate capacity, conve nient voiding patterns, optimal continence rate, preservation of renal function, acid-base balance, and calcium metabolism. The authors desc ribe important surgical details based on experience with more than 200 patients. To achieve a good functional result, patient selection, pos toperative voiding reeducation, and meticulous follow-up are important .