Functional characteristics of the Camey ileal bladder

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

We studied postoperatively 14 men who underwent urinary diversion with a Camey ileal bladder in association with radical cystoprostatectomy. Clinical and urodynamic evaluations revealed that the ileal bladder provides a moderate pressure reservoir (mean pressure at capacity 37 cm. water) and offers the patient reliable daytime continence. The mean capacity of 362 ml. allows for a voiding interval of 2.2 hours but it is not adequate for storage of urine produced through the night, so that nocturnal enuresis results universally. Even after 2 years of followup the tubular-shaped ileal reservoir maintained physiological contraction waves of segmentation and peristalsis typical of human ileum. Voiding is accomplished by abdominal straining and an intraluminal pressure of more than 50 cm. water is required to maintain the urine flow. Mean peak flow rate was 19 ml. per second. Reflux was prevented successfully in 86 per cent of the renal units. Metabolic acidosis was seen in 43 per cent of the patients. While the ileal bladder falls short of being the ideal form of continent urinary diversion, it offers a psychologically attractive technqiue to selected and highly motivated male patients faced with the need for urinary diversion.

Original languageEnglish (US)
Pages (from-to)739-742
Number of pages4
JournalJournal of Urology
Volume138
Issue number4
StatePublished - 1987

Fingerprint

Urinary Diversion
Urinary Bladder
Pressure
Urine
Nocturnal Enuresis
Colonic Pouches
Peristalsis
Water
Urodynamics
Acidosis
Ileum
Kidney

ASJC Scopus subject areas

  • Urology

Cite this

Functional characteristics of the Camey ileal bladder. / Roehrborn, Claus; Teigland, C. M.; Sagalowsky, Arthur I.

In: Journal of Urology, Vol. 138, No. 4, 1987, p. 739-742.

Research output: Contribution to journalArticle

@article{b937d16bd2c84f479a37e149ed253052,
title = "Functional characteristics of the Camey ileal bladder",
abstract = "We studied postoperatively 14 men who underwent urinary diversion with a Camey ileal bladder in association with radical cystoprostatectomy. Clinical and urodynamic evaluations revealed that the ileal bladder provides a moderate pressure reservoir (mean pressure at capacity 37 cm. water) and offers the patient reliable daytime continence. The mean capacity of 362 ml. allows for a voiding interval of 2.2 hours but it is not adequate for storage of urine produced through the night, so that nocturnal enuresis results universally. Even after 2 years of followup the tubular-shaped ileal reservoir maintained physiological contraction waves of segmentation and peristalsis typical of human ileum. Voiding is accomplished by abdominal straining and an intraluminal pressure of more than 50 cm. water is required to maintain the urine flow. Mean peak flow rate was 19 ml. per second. Reflux was prevented successfully in 86 per cent of the renal units. Metabolic acidosis was seen in 43 per cent of the patients. While the ileal bladder falls short of being the ideal form of continent urinary diversion, it offers a psychologically attractive technqiue to selected and highly motivated male patients faced with the need for urinary diversion.",
author = "Claus Roehrborn and Teigland, {C. M.} and Sagalowsky, {Arthur I}",
year = "1987",
language = "English (US)",
volume = "138",
pages = "739--742",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Functional characteristics of the Camey ileal bladder

AU - Roehrborn, Claus

AU - Teigland, C. M.

AU - Sagalowsky, Arthur I

PY - 1987

Y1 - 1987

N2 - We studied postoperatively 14 men who underwent urinary diversion with a Camey ileal bladder in association with radical cystoprostatectomy. Clinical and urodynamic evaluations revealed that the ileal bladder provides a moderate pressure reservoir (mean pressure at capacity 37 cm. water) and offers the patient reliable daytime continence. The mean capacity of 362 ml. allows for a voiding interval of 2.2 hours but it is not adequate for storage of urine produced through the night, so that nocturnal enuresis results universally. Even after 2 years of followup the tubular-shaped ileal reservoir maintained physiological contraction waves of segmentation and peristalsis typical of human ileum. Voiding is accomplished by abdominal straining and an intraluminal pressure of more than 50 cm. water is required to maintain the urine flow. Mean peak flow rate was 19 ml. per second. Reflux was prevented successfully in 86 per cent of the renal units. Metabolic acidosis was seen in 43 per cent of the patients. While the ileal bladder falls short of being the ideal form of continent urinary diversion, it offers a psychologically attractive technqiue to selected and highly motivated male patients faced with the need for urinary diversion.

AB - We studied postoperatively 14 men who underwent urinary diversion with a Camey ileal bladder in association with radical cystoprostatectomy. Clinical and urodynamic evaluations revealed that the ileal bladder provides a moderate pressure reservoir (mean pressure at capacity 37 cm. water) and offers the patient reliable daytime continence. The mean capacity of 362 ml. allows for a voiding interval of 2.2 hours but it is not adequate for storage of urine produced through the night, so that nocturnal enuresis results universally. Even after 2 years of followup the tubular-shaped ileal reservoir maintained physiological contraction waves of segmentation and peristalsis typical of human ileum. Voiding is accomplished by abdominal straining and an intraluminal pressure of more than 50 cm. water is required to maintain the urine flow. Mean peak flow rate was 19 ml. per second. Reflux was prevented successfully in 86 per cent of the renal units. Metabolic acidosis was seen in 43 per cent of the patients. While the ileal bladder falls short of being the ideal form of continent urinary diversion, it offers a psychologically attractive technqiue to selected and highly motivated male patients faced with the need for urinary diversion.

UR - http://www.scopus.com/inward/record.url?scp=0023262360&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023262360&partnerID=8YFLogxK

M3 - Article

VL - 138

SP - 739

EP - 742

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 4

ER -