The Quality Of Life And Mental State In Kazakh Nation Patients

Objective: To evaluate the orthotopic ileocolon continent urinary reservoir after radical cyctectomy for managing bladder cancer. Methods: 32 patients with bladder cancer (28 males and 4females; age range from 20 to 70 years), all managed by the orthotopic ileocolon continent urinary reservoir after radical cyctectomy were reviewed and evaluated. Results: Of the 32 patients, 29 were followed up for 6 to 36 months (mean, months). No serious operation related complications occurred. The daytime urinary continence rate was 92%; Urodynamics was carried out at 6 months after operation, It was showed that the average capacity of the urinary reservoir. the peak flow rate and postvoid residual were 386ml, 12.5ml/s and 26ml respectively. Ureteral reflux occurred only in 2 cases and ureteral stricture occueeed in 2 cases, but no evidences of urethral stricture and no hyperchloremic acidosis have been observed. Conclusions: Orthotopic ileocolon continent urinary reservoir might be considerd as an ideal from of urinary diversion, characterized by low pressure, large capacity, orthotopic and continent urination.