Continent Detenial Cecum-ascending Colon Bladder In Site

Purpose: To investigate the procedures and the clinical results of Continent detenial cecum-ascending colon bladder after total cystectomy.Methods: Between December 2001 and August 2004, 13 41-74-year-old patients (10 men 3 women) with bladder tumors underwent total cystectomy. with the Continent detenial cecum-ascending colon bladder in site among them . clinical data were analysed retrospectively.Result: Success of treatment has been achieved in all. The patients have been followed up to now.(mean period of 17.5 months, range 3—32 months). Continence of urination has been excellent. More then 6 months after operation ,the capacity of the urinary reservoir is 220ml—450ml ( averaged capacity 390 ml).The intrareservoir pressure is 1.41Kpa—3.38Kpa. And there were no serious complications..Conclusion: Continent detenial cecum-ascendin colon bladder in site is fairly good procedure for the reconstruction of urinary reservoir after total cystectomy. It can make patients with radical cystectomy urinate continently through urethra without suffering from other urinary diversion and obviously improve postoperative patients life qualities.