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Lower urinary tract substitution after radical cystectomy with urethral mucosa and submucosa removal in females with trigonal and/or bladder neck involvement

Bercovich, Eduard and Pirozzi Farina, Furio and Curreli, Andrea (1998) Lower urinary tract substitution after radical cystectomy with urethral mucosa and submucosa removal in females with trigonal and/or bladder neck involvement. British Journal of Urology, Vol. 82 (6), p. 913-914. eISSN 1464-410X. Article.

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DOI: 10.1046/j.1464-410X.1998.00921.x

Abstract

Orthotopic bladder substitution in females who have tumour involving the bladder neck is not usually acceptable because there is a high risk of recurrence in the remnant urethra. We describe a procedure of bladder orthotopic substitution featuring the removal of the urethral mucosa and submucosa and their substitution with ileal homologues to avoid or minimize urethral recurrence. The absence of anastomotic sutures between the neobladder and urethra improves voiding, as hypercontinence is otherwise a major problem.

Item Type:Article
ID Code:1316
Status:Published
Refereed:Yes
Uncontrolled Keywords:Cystectomy, orthotopic bladder substitution, urethral mucosa replacement, urethral submucosa replacement
Subjects:Area 06 - Scienze mediche > MED/24 Urologia
Divisions:001 Università di Sassari > 03 Istituti > Oftalmologia, Otorinolaringoiatria e Urologia
Publisher:British Journal of Urology
eISSN:1464-410X
Deposited On:18 Aug 2009 10:04

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