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,…
UROLOGY
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…
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…
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…
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…
Urethrectomy
Urethrectomy in the Male The indications for urethrectomy include carcinomatous involvement of the urethra. This can be done at the completion of a cystectomy or performed after subsequent urethral recurrence…
Radical Cystectomy in Female Patients
Preoperative Preparation and Planning There are few differences in preoperative preparation for women facing radical cystectomy compared with men. Prior gynecologic surgery should be noted, and when oncologically sound, discussion…
Radical Cystectomy in Male Patients
Preoperative Preparation and Planning Timely diagnosis and prompt surgical treatment are paramount in the management of muscle invasive bladder cancer (MIBC), and a delay in either diagnosis or radical cystectomy…
Cystolithotomy
Indications Bladder calculi account for 5% of all urinary calculi. Stone composition is influenced by the pH and the concentration of the urine, and most calculi are of mixed composition….
Partial Cystectomy
Preoperative Preparation and Planning Partial cystectomy may be a viable treatment option for select urothelial carcinomas, urachal adenocarcinomas, and certain benign tumors. Paramount to the use of this technique is…
