[Technique and results of the "Mini-Bricker" urinary tract diversion after total cystectomy for bladder tumors]

Prog Urol. 1994 Dec;4(6):953-8.
[Article in French]

Abstract

The authors have performed a "Mini-Bricker" operation in 24 patients with bladder cancer. This technique consists of urinary diversion in which the size of the intestinal loop is reduced to an average of 4 cm and the ureteroileal anastomosis is performed end-to-end in order to allow subsequent endourological procedures, if necessary. The postoperative course was uneventful in 71% of cases. Seven early complications were reported: 3 infectious, 1 thromboembolic and 2 hernias. In the medium term, one case of disturbances and 2 stenoses of the ureteroileal anastomosis were treated by endoscopic dilatation. The median follow-up is 3 years and 5 patients have died. A retrospective survey of quality of life revealed that 86% of patients were satisfied with their diversion and rapidly acquired autonomy following cystectomy without the need for retraining and without having to get up at night.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cystectomy*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Quality of Life
  • Retrospective Studies
  • Urinary Bladder Neoplasms / surgery*
  • Urinary Reservoirs, Continent / adverse effects
  • Urinary Reservoirs, Continent / methods*
  • Urinary Reservoirs, Continent / psychology