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2 de sept. de 2021 · Orthotopic bladder substitution (OBS) is a management option for urinary diversion in men and women undergoing cystectomy. The aim of the procedure is to provide a functional continent urinary reservoir of adequate capacity, compliance and low pressure.
PMID: 23222970. DOI: 10.1097/WON.0b013e31827759ea. Abstract. Bladder substitution following radical cystectomy for urothelial cancer (transitional cell carcinoma) has become increasingly common and in many centers has evolved to become the standard method of urinary diversion.
25 de jul. de 2021 · First Online: 25 July 2021. pp 227–243. Cite this chapter. Download book PDF. Download book EPUB. Bladder Cancer. Divya Ajay, O. Lenaine Westney, Ahmed S. Elsayed, Ahmed A. Hussein & Khurshid A. Guru. 1038 Accesses. Abstract. This chapter reviews the construction of orthotopic bladder substitution with tricks and tips as performed by the authors.
In 1964, Dr Nils Kock first described the Kock pouch as a low-pressure orthotopic bladder substitute after total or partial cystectomy.1 Despite producing a large volume capacity with excellent function, the Kock bladder pouch never gained popularity as a bladder substitute.
1 de sept. de 2010 · Orthotopic bladder substitute (OBS) has been popularized over the past 2 decades as a diversion following radical cystectomy for invasive bladder cancer. Various reports, mostly single-center experiences, are published on patients with OBS.
13 de sept. de 2021 · Three main approaches are possible: (i) incontinent cutaneous diversion, such as ureterocutaneostomy, colonic or ileal conduit, (ii) continent pouch created using different segments of the gastrointestinal system and a cutaneous stoma, and (iii) orthotopic urinary diversion with an intestinal segment with spherical configuration and anastomosis ...
22 de abr. de 2011 · The ultimate goal of orthotopic bladder substitution is to offer patients the best quality of life, similar to that of patients with native bladders.
