Function of the intestinal substituted bladder.

Abstract

Bladder function of 15 patients treated with total cystectomy, subtotal cystectomy or bladder resection, combined with sigmoidal, caecal or ileal cystoplasty, was evaluated with synchronous bladder pressure-flow-electromyography studies. Micturition was good or satisfactory in 14 patients. Eight patients had nocturnal incontinence. Bladder-sphincter dyssynergia of varying degree impaired the function of the intestinal substituted bladder in 9 patients. However, in selected cases intestinal cystoplasty is the best solution for retaining the normal way of voiding. After total cystoprostatectomy it is possible to replace the motor function of the bladder with sigmoidal cystoplastic substitution of the bladder. Patients with sigmoidal bladders also gradually developed sensations of fullness closely simulating those of their earlier bladders.