Gastric Pouch After Simple or Radical Cystectomy for Benign and Malignant Bladder Disease

Abstract

Background: There is a controversy regarding the use of gastric pouch for benign and malignant bladder diseases. Objectives: The aim of this retrospective study was to report our experience, mostly on gastric neobladder (not gastrocystoplasty) for benign and malignant bladder diseases, its complications, outcomes and follow-up results. Materials and Methods: In this retrospective case series, we described our experience on seven gastric pouches (2 gastrocystoplasty and 5 gastric neobladders). Results: Postoperative complications were rare. Continence was defined as bladder capacity over 400 mL. Their follow-up period ranged from five months up to writing the article. One of the studied cases is still alive and awaiting renal transplantation. Conclusions: Gastric pouch is a suitable segment for bladder cystoplasty and neobladder. Continence is mostly related to the capacity of pouch.