{"id":402,"date":"2017-08-23T10:31:54","date_gmt":"2017-08-23T10:31:54","guid":{"rendered":"http:\/\/cru.aeu.es\/?p=402"},"modified":"2017-08-23T10:31:54","modified_gmt":"2017-08-23T10:31:54","slug":"studer-a-largo-plazo","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=402","title":{"rendered":"STUDER A LARGO PLAZO"},"content":{"rendered":"
Yonsei Med J.<\/a><\/span> 2013 May 1;54(3):690-5. doi: 10.3349\/ymj.2013.54.3.690.<\/div>\n

The Studer<\/span> orthotopic neobladder<\/span>: long-term (more than 10 years) functional outcomes, urodynamic features, and complications.<\/strong><\/p>\n

Nam JK<\/a>1<\/sup>, Kim TN<\/a>, Park SW<\/a>, Lee SD<\/a>, Chung MK<\/a>.<\/div>\n
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<\/div>\n<\/div>\n
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Abstract<\/h3>\n
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PURPOSE:<\/h4>\n

Radical cystectomy and urinary diversion are the standard treatment for invasive bladder cancer. We analyzed the long-term (>10 years postoperatively) functional outcomes, complications, and urodynamic findings in a single center series of patients who underwent cystectomy and a Studer<\/span> ileal neobladder<\/span> substitution.<\/p>\n

MATERIALS AND METHODS:<\/h4>\n

A retrospective chart review of 108 Studer<\/span> pouches constructed during 1990 and 2011 was performed. Data were analyzed in terms of long-term (>10 years) outcomes. Complications, incontinence, voiding difficulties, upper urinary tract changes, overall satisfaction, and urodynamic findings of the reservoir were obtained.<\/p>\n

RESULTS:<\/h4>\n

We evaluated 19 out of 50 patients who had lived for over 10 years postoperatively. Another 31 patients were not traced: 7 patients died following recurrence, 15 died due to exacerbation of a comorbidity, and 9 patients were lost to follow-up. Concerning complications, 6 patients had an atrophied kidney, 5 patients had moderate hydronephrosis, 5 patients had chronic recurrence of pylelonephritis, and 2 patients had voiding difficulty because of bladder neck stricture due to clean intermittent catheterization. One patient underwent an operation due to intestinal obstruction. Seven patients had incontinence; all 7 patients showed intermittently at night and 2 patients even in waking hours. Maximum bladder capacity was 484.1\u00b1119.2 mL, maximum flow rate was 13.6\u00b19.7 mL\/sec, and post-void residual urine volume was 146.8\u00b182.7 mL.<\/p>\n

CONCLUSION:<\/h4>\n

Long-term outcomes with the Studer<\/span> orthotopic ileal neobladder<\/span> have an acceptable complication rate and good functional results. However, potential adverse outcomes such as renal deterioration, dysfunctional voiding should also be considered.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Yonsei Med J. 2013 May 1;54(3):690-5. doi: 10.3349\/ymj.2013.54.3.690. The Studer orthotopic neobladder: long-term (more than 10 years) functional outcomes, urodynamic features, and complications. Nam JK1, Kim TN, Park SW, Lee SD, Chung MK. Abstract PURPOSE: Radical cystectomy and urinary diversion …<\/p>\n

STUDER A LARGO PLAZO<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,12],"tags":[],"class_list":["post-402","post","type-post","status-publish","format-standard","hentry","category-bibliografiainteres","category-fistulas-derivaciones-tus"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=402"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/402\/revisions"}],"predecessor-version":[{"id":403,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/402\/revisions\/403"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}