Article

[Orthotopic bladder substitution in the treatment of interstitial cystitis].

Servicio de Urologia, Consorcio Hospital General Universitario, Valencia, España,
Archivos españoles de urología 10/2005; 58(7):605-10.
Source: PubMed

ABSTRACT To point out the efficacy of supra trigonal cystectomy with orthotopic substitution iliocystoplasty in the treatment of advanced interstitial cystitis (IC).
We study the results obtained in four women suffering IC nonrespondent to conservative treatment who underwent the procedure. All patients comply with classic diagnostic criteria of IC, presenting long-lasting symptoms, between 4 and 8 years (mean 5.6), and voiding frequency of near one-hour day and night.
Mean postoperative follow-up was 32 months (18 to 56); post operative evaluation included clinical evaluation, ultrasound, urodynamic studies, and radiological tests. Suprapubic pain disappeared in all cases, as well as pre-op lower urinary tract symptoms, with good control of urinary frequency day and night being evident in the immediate postoperative period. All patients referred high satisfaction with the outcome.
When conservative treatment fails, supratrigonal cystectomy with orthotopic neobladder substitution is a valid therapeutic option in IC patients who comply with classic diagnostic criteria.

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Keywords

8 years
 
classic diagnostic criteria
 
clinical evaluation
 
efficacy
 
good control
 
IC nonrespondent
 
IC patients
 
immediate postoperative period
 
interstitial cystitis
 
long-lasting symptoms
 
Mean postoperative follow-up
 
one-hour day
 
orthotopic neobladder substitution
 
orthotopic substitution iliocystoplasty
 
patients
 
post operative evaluation
 
pre-op lower urinary tract symptoms
 
Suprapubic pain
 
urinary frequency day
 
urodynamic studies