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Pain Management 2019 & Internal Medicine 2019 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 76
JOINT EVENT
7th Edition of International Conference on
Pain Management
8th Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
The Y shaped ileal neobladder as a simple and practical
solution for Egyptian bladder cancer patients
Sharif Ahmed Abdal Karim, Eman El desouky, Ehab S Hussien and
Abdelmaksoud Mohammed
National Cancer Institute-Cairo University, Egypt
Objective: Description of the results of using the Y
(Fontana) pouch ileal neobladder for reconstruction
after radical cystectomy in a subset of patients in the
national cancer institute of Cairo university in Egypt in
terms of operative time, post-operative complications,
urodynamic studies and patient satisfaction.
Methods: In 2014, A prospective interventional study
was carried out in the National Cancer Institute involving
29 patients with bladder cancer who met the criteria
for neobladder reconstruction after radical cystectomy
for whom a modified Y shaped ileal neobladder was
created after tumor exanteration aiming at exploring the
operative time, complications and patient satisfaction
rates for a period of one year in such a group of patients
compared to other reconstructive options. Complications
were assessed per the Clavien-Dindo classification
system(CDC).
Results: The mean time to create the Y pouch ileal
neobladder was 34 minutes. Early complications were
reported in 14 patients (48%) with a highest CDC grade of
III while late complications (after 30 days) were reported
in 17 patients (58%) with a highest CDC grade of V (three
patients died during the follow up course). The mean
value of maximum neobladder capacity was 445ml, the
mean pressure at maximum neobladder capacity was
22cmH2O and the mean post-voiding urine residual
was about 20ml. By 6 months’ post operatively, about
85% of the cases expressed having a good quality of life
evidenced by satisfaction about their body image, daily
maintenance and general satisfaction.