Modified Ghoneim's technique using a single serous-lined extramural tunnelin detubularized orthotopic ileal W-bladder

Objectives: We report our preliminary clinical experience with a modificati on of Ghoneim's original technique involving reimplantation of ureters in a single tunnel on the right part of the neobladder forming a 'W' shape. Methods: From 1997 to 1999, we performed radical cystectomy with double 'W' orthotopic neobladder construction and uretero-ileal reimplantation using our modified Ghoneim's technique on 11 male patients, aged 40-74 (mean 65.5 ) years, affected by invasive bladder cancer. Results: No postoperative complications were observed. After a mean follow- up of 12.5 months all patients are free of recurrences. Conclusions: In our hands the modified Ghoneim's technique seems to reduce the mean operating time required to tailor the uretero-ileal anastomosis an d guarantee greater stability of the anastomosis itself. Copyright (C) 2000 S. Karger AG, Basel.