Objectives: We review the functional and oncologic outcomes of radical
cystectomy and orthotopic ileal bladder substitution with serous lined
extramural ureteral reimplantation. Matherial and methods: From 1985 to 2009
a total of 125 male patients (mean age 62,5 years, range 37 to 74) underwent
orhotopic ileal bladder substitute at the urological Clinic in Belgrade. Of
these, 8 patients underwent modified technique with serous lined extramural
ureteral reimplantation. The median follow-up (available for 88 patients)
period was 30 (2 - 72) months. Results: Perioperative lethality was nil.
Modified operative technique was associated with low postoperative
complication rates and without ureteric implantation site stenosis, reflux or
deteriorization of renal function. All patients had satisfied day and night
continence rates. Conclusion: The serous-lined extramural ureteral
reimplantation is an attractive technique regarding its safety, versality and
functional outcome. It is especially favorable for reimplantation to ureters
of various calibers as well as dilated ureters.
Radical cystectomy and orthotopic ileal bladder substitution with serous lined extramural ureteral reimplantation: Report of 8 cases