What is neobladder urinary diversion?

Neobladder reconstruction is a surgical procedure to construct a new bladder. If a bladder is no longer working properly or is removed to treat another condition, a surgeon can create a new way for urine to exit the body (urinary diversion). Neobladder reconstruction is one option for urinary diversion.

What is the success rate of Neobladder surgery?

Of the neobladder patients, 74.6% felt “absolutely safe” with their urinary diversion, compared to 33.3% of patients with the ileal conduit. In terms of daytime urine leakage, 1.5% of the neobladder patients reported wetting clothes from leaks, compared to 48.5% of ileal conduit patients reporting wetting clothes.

What is the life expectancy of a neobladder?

The Studer Orthotopic Neobladder: Long-Term (More Than 10 Years) Functional Outcomes, Urodynamic Features, and Complications.

Do you have a stoma with a neobladder?

Ileal neobladder: the pouch is made from the small intestine (ileum). For a neobladder, there is no ostomy, and urine is passed through the urethra.

Which urinary diversion is best?

The ileal conduit is the simplest, most time-tested urinary diversion that requires the least operative time and arguably is associated with the fewest complications. A short piece of ileum is anastamosed (i.e. connected) to the ureters and brought onto the skin.

Which is better ileal conduit or neobladder?

Urinary function is worse in neobladder patients compared to ileal conduit patients. Sexual function is better in neobladder patients but causes much more bother. In retrospect, none of the patients regret their choice of urinary diversion.

How long does it take to recover from Neobladder surgery?

Neobladder surgery requires a lot of healing For me, the healing took about 4 months total. And when I say 4 months, I mean 4 months from surgery to being on a plane and traveling for work. I was able to work from home within a week of coming home from the hospital.

How long has Neobladder surgery been around?

History of the Procedure Surgeons have been performing urinary tract diversions for almost 150 years. In 1852, Simon performed the first ureteroproctostomy in a patient with exstrophy. Since then, the procedures have been refined, and patient outcomes have improved.

What are the complications with Neobladder?

The overall long-term complication rate was 40.8% with 3 neobladder related deaths. Hydronephrosis, incisional hernia, ileus or small bowel obstruction and feverish urinary tract infection were observed in 16.9%, 6.4%, 3.6% and 5.7% of patients, respectively, 20 years postoperatively.