Evaluation of functional outcomes of Studer ileal orthotopic bladder substitutions

gamal, mohamed; Aboelhassan, Mohamed Hamdy; Abdel raheum, Mamdouh Abdel hamid; el-sayed, tarek osman; Abdelgawad, Ahmed Hakim

doi:10.21608/mjmr.2024.260598.1604

	Evaluation of functional outcomes of Studer ileal orthotopic bladder substitutions
Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 05 February 2024
Document Type: Original Article
DOI: 10.21608/mjmr.2024.260598.1604
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Authors
mohamed gamal ¹; Mohamed Hamdy Aboelhassan²; Mamdouh Abdel hamid Abdel raheum³; tarek osman el-sayed⁴; Ahmed Hakim Abdelgawad⁵
¹urology minia
²Urology Department, Faculty of medicine , Minia University, El-minia, Egypt
³Urology department, faculty of medicine, El minia, Egypt
⁴urology department, faculty of medicine, Ain-shams
⁵Urology department faculty of medicine minia university Minia Egypt
Abstract
Background: The most frequent cancer of the urinary system and the second leading cause of mortality from genitourinary cancers is urothelial carcinoma. The usual course of treatment for high-risk non-muscle invasive bladder cancer (NMIBC) and localized muscle-invasive bladder cancer (MIBC) is radical cystectomy (RC). Methods: This one-armed hospital-based clinical trial study included 12 patients who were subjected to radical cystectomy and Studer ileal neo-bladder substitution at the urology department, Minia University, and Ain Shams University Hospital in the period from January 2022 to January 2023. Results: The mean age in our study was 63 years, with highest incidence in the age group (61:70 years), the mean blood loss and blood transfusion was 1166.5 ml, the mean operative time was 3.6 hours, total diurnal continence was achieved in 7 patients (58.5%) while 4 patients (33.5%) developed stress incontinence, and total nighttime continence was achieved in 5 patients (41.5%). Conclusion: Based on functional outcomes, we determined that Studer neobladder repair is safe in terms of effectiveness.
Keywords
ileal neo-bladder; Studer neobladder; bladder cancer


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