Evidence map›Paper›PMID 38502467›Full record

ArticleInternational urology and nephrology2024

The clinical study of urinary flow parameters after drag-and-bond anastomosis for ileal orthotopic neobladder reconstruction.

Qixun Luo, Lieyu Xu, Chuanyun Lin, Haichao Chao, Tao Zeng, Zunwei Zhu

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Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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6 authors.

Qixun LuoJiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi, China.
Lieyu XuDepartment of Urology, Jiangxi Provincial People's Hospital, No.92Aiguo Road, Donghu District, Nanchang, 330006, Jiangxi, China.
Chuanyun LinDepartment of Urology, Fenyi County Hospital of Traditional Chinese Medicine, Xinyu, 336600, Jiangxi, China.
Haichao ChaoDepartment of Urology, Nanchang University Second Affiliated Hospital, Nanchang, 330006, Jiangxi, China.
Tao ZengDepartment of Urology, Nanchang University Second Affiliated Hospital, Nanchang, 330006, Jiangxi, China.
Zunwei ZhuDepartment of Urology, Jiangxi Provincial People's Hospital, No.92Aiguo Road, Donghu District, Nanchang, 330006, Jiangxi, China. zhuzwei@126.com.

Funding

2020 Science and Technology Plan of Jiangxi Provincial Health and Health Commission 20201010Key Research and Development Program of Jiangxi Province 20161BBG70130Key Research and Development Program of Jiangxi Province 20192BBGL70029
6 · The paper itself

Abstract

aimTo assess the viability of this procedure in laparoscopic radical cystectomy with ileal orthotopic neobladder reconstruction, the objective of this study is to examine the relationship between urinary flow parameters of urethral drag-and-bond anastomosis in the reconstruction of the ileal orthotopic neobladder.

methods36 patients with bladder cancer underwent laparoscopic radical cystectomy with ileal orthotopic neobladder reconstruction at Jiangxi provincial people's hospital between June 2016 and January 2021,16 patients underwent intermittent urethral anastomosis, while 20 patients underwent neobladder-urethral drag-and-bond anastomosis. The maximum bladder capacity, residual urine output, maximum urinary flow rate, and outlet morphology of the new bladder neck were all monitored throughout postoperative follow-up regularly.

resultsThere was no significant difference between the urethral drag-and-bond anastomosis group (group A) and the conventional anastomosis group (group B) at 3 months and 12 months after surgery, and the maximum bladder capacity (3 months, 488.35 ± 51.56 ml vs 481.06 ± 40.61 ml, t = -0.462, P = 0.647; 12 months, 496.35 ± 51.09 ml vs 476.56 ± 56.33 ml, t = -1.103, P = 0.278), residual urine output (3 months, 44.15 ± 24.12 ml vs 38.69 ± 21.82 ml, t = -0.704, P = 0.486;12 months, 49.65 ± 26.95 ml vs 36.75 ± 21.96 ml, t = -1.546, P = 0.131) and maximum urine flow rate (3 months, 12.36 ± 2.63 ml/s vs 13.60 ± 2.82 ml/s, t = 1.361, P = 0.182;12 months, 12.18 ± 3.14 ml/s vs 11.13 ± 3.01 ml/s, t = -1.004, P = 0.322) of the two groups were not significant (P > 0.05). The new bladder outlet morphology was not distorted in group A patients, the continuity was good, and there were fewer associated complications.

conclusionsThere was no significant difference in postoperative urodynamic parameters between the urethral drag-and-bond anastomosis group and the conventional anastomosis group, and the postoperative new bladder outlet was in good shape, with clinical significance.

Indexed as

Anastomosis, SurgicalCystectomyIleumUrinary Bladder NeoplasmsUrinary Reservoirs, ContinentAgedFemaleHumansLaparoscopyMaleMiddle AgedUrethraUrinary BladderUrinary DiversionUrinationUrodynamicsAnastomosisBladder cancerOrthotopic ileal neobladderRadical cystectomyUrine flow parameters

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