The N-shaped orthotopic ileal neobladder: functional outcomes and complication rates in 119 patients

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dc.contributor.authorDe Sutter, Thomas
dc.contributor.authorAkand, Murat
dc.contributor.authorAlbersen, Maarten
dc.contributor.authorEveraerts, Wouter
dc.contributor.authorVan Cleynenbreugel, Ben
dc.contributor.authorDe Ridder, Dirk
dc.contributor.authorGoethuys, Hans
dc.date.accessioned2020-03-26T19:31:43Z
dc.date.available2020-03-26T19:31:43Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: We report our long-term experience with 119 cases of N-shaped orthotopic ileal neobladder. Methods: Between March 1996 and July 2013, a total of 119 patients (102 men, 17 women) underwent cystectomy with creation of an N-shaped orthotopic ileal neobladder. The Clavien-Dindo classification score was used for grading early (<3 months postoperative), late, and pouch-related and non-pouch-related complications. Daytime and nighttime continence were evaluated for male and female patients separately, with patients subdivided in three groups: completely continent, use of <= 1 pad, and use of >1 pad. Results: Median follow-up was 75 months (range 3-204). Early complications (15 major, 54 minor) occurred in 39.5 % of 119 patients whereas 53.1 % presented with late complications (56 major, 39 minor; 111 patients evaluated). Urinary infection and outlet obstruction were both the most frequent early and late pouch-related complications; early non-pouch-related complications were mainly infectious and gastrointestinal, and the most common late non-pouch-related problem was wound herniation. At 12 months, 96 and 60 % of the men and 84.6 and 66.7 % of the women respectively achieved daytime and nighttime continence. Conclusion: Complication rates of the N-shaped orthotopic ileal neobladder were relatively high, probably because of meticulous recording and follow-up. Daytime continence rates were better than nighttime rates. N-shaped orthotopic ileal neobladder can be a good option for urinary diversion in selected patients who undergo radical cystectomy.en_US
dc.description.sponsorshipEuropean Urologic Scholarship Program (EUSP); Klinisch Onderzoeksfonds (KOF) UZ Leuvenen_US
dc.description.sponsorshipThomas De Sutter and Murat Akand are co-first authors of the article. Frank Van Der Aa and Steven Joniau are the joint last authors. Murat Akand is supported by a clinical scholarship from the European Urologic Scholarship Program (EUSP). Steven Joniau is supported by Klinisch Onderzoeksfonds (KOF) UZ Leuven.en_US
dc.identifier.doi10.1186/s40064-016-2287-1en_US
dc.identifier.issn2193-1801en_US
dc.identifier.pmid27330912en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://dx.doi.org/10.1186/s40064-016-2287-1
dc.identifier.urihttps://hdl.handle.net/20.500.12395/34119
dc.identifier.volume5en_US
dc.identifier.wosWOS:000376453700017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGER INTERNATIONAL PUBLISHING AGen_US
dc.relation.ispartofSPRINGERPLUSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectCystectomyen_US
dc.subjectIleal orthotopic neobladderen_US
dc.subjectBladder substitutionen_US
dc.subjectComplicationsen_US
dc.subjectContinenceen_US
dc.titleThe N-shaped orthotopic ileal neobladder: functional outcomes and complication rates in 119 patientsen_US
dc.typeArticleen_US

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