Abstract
Orthotopic neobladders (ONBs) allow replication of continent voiding per urethra, and many surgeons advocate ONB as the preferred diversion type. Women are less likely to undergo ONB than men, possibly due to higher rates of postoperative voiding dysfunction. A literature review was performed, and 19 articles were identified that reported urinary function following ONB in women. Daytime and nighttime continence ranged from 57 to 100 % and 45 to 92 %, respectively. Rates of hypercontinence requiring clean intermittent catheterization (CIC) varied between 0 and 63 %. Techniques to spare pelvic nerves and preserve internal support may help prevent incontinence and hypercontinence. The wide variation in reported rates of voiding dysfunction may be secondary to differences in surgical technique or patient factors. However, there is significant heterogeneity in the methods used to measure, define, and report urinary outcomes, making comparison between studies challenging. There is ample opportunity for prospective research on functional outcomes in women with ONB.
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