The Authors have briefly reviewed current literature regarding orthotopic bladder substitution. On the grounds of these preliminary considerations, the experience progressively acquired in our Department during the last three years has been reevaluated. The following techniques have been performed: Carney (without ileal detubularization), Reddy II (with partial detubularization), Carney II (with total detubularization) and VIP (with reconfiguration associated with total ileal detubularization). Our data show that the association of detubularization and reconfiguration seems to be the most suitable measure to guarantee construction of a continent, high-capacity, low-pressure reservoir.
ThueroffJ.W., AlkenP., RiedmillerH., EngelmannU., JacobiG.H., HohenfellnerR.: The MAINZ pouch (Mixed Augmentation Ileum and Cecum) for bladder augmentation and continent diversion. J. Urol., 136: 17, 1986.
16.
GoldwasserB., WebsterG.D.: Continent urinary diversion. J. Urol., 134: 227, 1985.
17.
ReddyP.K., LangeP.H.: Bladder replacement with sigmoid colon after radical cystoprostatectomy. Urology, 29: 368, 1987.
18.
NurseD.E., McCrae, StephensonT.P., MundyA.R.: The problems of substitution cystoplasty. Brit. J. Urol., 61: 423, 1988.
19.
CarlenB., WillenR., ManssonW.: Mucosal ultrastructure of continent cecal reservoir for urine and its ileal nipple valve 2–9 years after constructions. J. Urol., 143: 372, 1990.
