Purpose: This study aims to evaluate the effects of action research on neobladder function training in patients with orthotopic ileal neobladders.
Methods: A total of 68 patients with orthotopic ileal neobladders were randomly divided into two groups: a control group (31 patients) and an experimental group (37 patients). Patients in the control group received neobladder function training, while patients in the experimental group received neobladder function training based on the action research method. The effects of neobladder function training in all patients were evaluated after three months.
Results: (1) The differences between the two groups in micturition time interval, urine volume per time, number of incidences of nocturia, and urinary continence rate (day time and night time) were statistically significant (P < 0.05). (2) Compared to the control group (241.6 ± 42.3 mL, 15.1 ± 4.9 mL/s, 23.1 ± 9.9 cmH2O, 63.6 ± 22.3 mL), the bladder capacity (292.6 ± 66.9 mL), maximum urinary flow rate (19.2 ± 6.5 mL/s), and bladder detrusor pressure (31.2 ± 11.4 cmH2O) of the experimental group increased, while the residual urine volume (47.2 ± 21.1 mL) decreased (P < 0.05).
Conclusion: Neobladder function training based on the action research method can improve the neobladder function of patients with orthotopic ileal neobladders.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.22037/uj.v18i.6167 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A challenging case of a multiple large stones in enterocystoplasty: a case report.
Pan Afr Med J
November 2024
Department of Urology A, University Hospital Center, Rabat, Morocco.
In recent years, the utilization of enterocystoplasty for bladder function enhancement has increased, albeit accompanied by risks such as stone formation, necessitating vigilant follow-up. We report a case of a 60-year-old female with a neobladder who presented with back pain, constipation, and pelvic heaviness, revealing multiple large stones in imaging. Stone analysis showed calcium oxalate and magnesium.
View Article and Find Full Text PDFRobot-assisted radical cystectomy with neobladder diversion in females: Safety profile and functional outcomes.
Asian J Urol
October 2024
Department of Urology, Institut Paoli-Calmettes Cancer Centre, Marseille, France.
Objective: Radical cystectomy (RC) is a standard treatment for localized muscle invasive bladder cancer and high-risk or very high-risk non-muscle invasive bladder cancer not responding to adequate endovesical therapy. In women, traditionally RC is performed with hystero-adnexectomy and resection of the anterior vaginal wall, often resulting in sexual disorders. Vaginal-sparing techniques have been developed to improve functional outcomes.
View Article and Find Full Text PDFOutcomes after robot-assisted radical cystectomy with orthotopic neobladder in women.
World J Urol
November 2024
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Article Synopsis
- The study aimed to assess the outcomes of robot-assisted radical cystectomy (RARC) with intracorporeal orthotopic neobladder in women with bladder cancer, specifically focusing on functionality, cancer results, and complications.
- The research involved 146 female patients, revealing that about half underwent pelvic organ-preserving procedures, achieving overall daytime and nighttime continence rates of 54% and 53%.
- The findings concluded that RARC with orthotopic neobladder offers good functional outcomes, with pelvic organ preservation improving urinary continence while maintaining cancer safety.
Anti-Reflux Ureteroileal Anastomosis for Orthotopic Ileal Neobladder Using Wallace Technique in a Single Trough.
Urol Int
October 2024
Urology Department, Ain Shams University, Cairo, Egypt.
Introduction: The aim of this study was to evaluate the modification of the subserous extramural tunnel for non-refluxing ureteroileal anastomosis in U-shaped pouches using the Wallace technique with a single trough.
Methods: This prospective study was conducted from 2017 to 2022 in a single tertiary center after approval from the Research Ethics Committee of our institution (approval number: FWA 000017585). 45 patients' candidates for radical cystectomy and orthotopic urinary diversion were included in this study.
The mental and emotional status after radical cystectomy and different urinary diversion orthotopic bladder substitution versus external urinary diversion after radical cystectomy: A propensity score-matched study.
Int J Urol
December 2024
Department of Urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Article Synopsis
- - The study investigates the effects of two types of urinary diversion—Bricker's ureteroileocutaneostomy and orthotopic bladder replacement—on the quality of life in patients undergoing radical cystectomy for bladder cancer over a time span from January 2020 to February 2024.
- - Participants completed four different quality of life questionnaires before surgery and at 3 and 12 months post-surgery, revealing statistically significant improvements in various functional aspects and symptoms, particularly in the neobladder group.
- - While the neobladder showed better results in certain areas, the study concludes that there isn't a clear winner between the two urinary diversion methods, emphasizing the importance of collaborative decision-making among patients, caregivers, and healthcare
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!