Ureterocystoplasty
We gratefully acknowledge the contribution of Dr. John Pope, who authored this chapter in previous editions. When a patient is in need of bladder augmentation and a significantly dilated ureter…
Colocystoplasty
Sigmoid cystoplasty was described by Lemoine in 1912 and has been used extensively. The sigmoid colon’s proximity to the bladder and reliable blood supply has made it an attractive option…
Ureterosigmoidostomy and Mainz Pouch II
Background Historically, as early as 1852, Simon reported the first continent urinary diversion by creating a fistula between the ureters and the rectum in a patient with bladder exstrophy. The…
Ileal Orthotopic Bladder Substitution
In this chapter, the surgical technique for constructing an ileal orthotopic bladder substitute combined with an afferent tubular segment is described. This reservoir with a low pressure and high compliance…
Laparoscopic/Robotic Radical Cystectomy
Patient and Preoperative Preparation Patients being considered for laparoscopic radical cystectomy (LRC) or robot-assisted radical cystectomy (RARC) should undergo complete metastatic and staging evaluation. Particular attention needs to be paid…
Ileocystoplasty
It is wise to first use less invasive measures when possible and proceed to augment only if these prove insufficient. Videourodynamic evaluation provides information about bladder compliance, overactivity, outlet resistance,…
Ileocecal Reservoir
Introduction and Historical Perspective The Indiana pouch has become one of the most popular forms of catheterizable continent urinary diversions over the past 3 decades, serving a purpose for patients…
Appendicovesicostomy
The Mitrofanoff principle is based on implantation of a supple tube within a submucosal tunnel with firm muscular backing. Reservoir pressure during filling coapts the catheterizable channel to prevent leakage…
Excision of Vesical Diverticulum
Bladder diverticula are the result of herniation of the bladder mucosa through the detrusor wall. Because of the lack of muscularis tissue around the diverticula, they usually empty poorly or…
Pelvic Lymphadenectomy
This chapter describes the operative steps to performing an open bilateral pelvic lymphadenectomy as part of a radical cystoprostatectomy and anterior exenteration. The laparoscopic approaches to the pelvis and pelvic…
