Converting an orthotopic neo-bladder to an ileal conduit

1. No. 202 Converting an orthotopic neo-bladder to an ileal conduit David Pan, Ahmed Eldefrawy, RamgopolSatyanarayana, Mark Soloway, MurugesanManoharan Department of Urology, University of Miami, Miami, Florida, USA Posters Proudly Supported by: Results Overall, 5 patients underwent conversion of neo-bladder to ileal conduit. 2 had urethral recurrence of urothelial carcinoma, 1 had severe urinary incontinence and 2 had neo-bladder fistula. Operative time was 110mls and intro-operative blood loss was 140mls. None of the patients required additional bowel resection, ureteric mobilisation or ileal ureteric anastomoses. Surgical technique of neobladder construction and conversion to an ileal conduit. Introduction Urethral recurrence of urothelial carcinoma, urinary incontinence and neo-bladder fistula may necessitate conversion of an orthotopic neobladder to an ileal conduit. Aim To report our technique of converting orthotopic neo-bladder to ileal conduit urinary diversion. Methods Patients who required neobladder to ileal conversion between 1992 and 2010 were identified in a retrospective review. The reasons for conversion, operative time and blood loss were reviewed. Our surgical technique of neo-bladder formation and converting neobladder to ileal conduit urinary diversion reported. Conclusions Our technique of neobladder formation and subsequent conversion to ileal conduit minimises the need for additional bowel resection, ileal ureteric anastomosis and ureteric mobilisation. This may decrease surgical morbidity. References The ileal orthotopic bladder, Studer UE, Turner WH, Urology 1995 Feb;45(2), 185-9 Urinary diversion, Hautmann RE, Abol-Enein H, Haro, I, Urology , 2007, Jan;69 (1 Suppl):17-49 Management of urethral recurrence after orthotopic urinary diversion, Taylor JM, Spiess PE, Kassouf W, et al, BJU Int, 2010, Jul;106(1);56-61 Acknowledgements