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Low pressure continent ileal reservoir for bladder substitution (Report of 17 cases)

Purpose:To improve the quality of patient′s life after radical cystectomy. Methods:The ansa of mesenterial intestine was overlapped to a w pouch or a globe pouch with double antireflux and was used as a low pressure ileal pouch for bladder substitution for 17 cases of bladder carcinoma. Results: The patients were followed up for 6 months to 2 years after the operation. Low pressure ileal reservoir for bladder substitution has many advantages such as low intra-reservoir pressure, large volume, antiureteral reflux, no hydropic and electrolytic disorder, no ureter expansion, no hydronephrosis. Conclusions: Low pressure w type or globe type ileal reservoir is an ideal operation for the patient with bladder carcinoma.