Detubularized rectosigmoid neobladder in women after cystectomy for bladder cancer

Background and Objectives: We present the long-term functional results of a new technique for bladder substitution after cystectomy for bladder cancer in women. Methods: Between 1991 and 1995, 10 women underwent radical cystectomy for b ladder cancer with a new technique. We created a detubularized rectosigmoid neobladder associated with either a terminal colostomy or intrasphincteric perineal colostomy section (Heitz-Boyer-Hovelacque). We evaluated neobladd er functioning over almost 5 years by means of urodynamic studies, ultrasou nd scans, urograms and pouchgrams, and renal function tests. Results: Neobladder function was excellent in all patients, with good diurn al and nocturnal urinary continence, voiding patterns, and preservation of the upper urinary tract. Conclusions: This new technique, which is a modification of the standard re ctal or rectosigmoid neobladder technique, is a valid alternative to the or tothopic neobladder in women, with good functional results. (C) 2000 Wiley- Liss, Inc.