[A simple detubularized ileal neobladder].

Generalized use of bladder replacement techniques has turned Cystoprostatectomy into a less mutilating operation and made its indication easier, particularly in patients with bladder carcinoma. The authors propose an easy way of detubularizing an ileal loop by mechanical section-suture with the GIA*, resulting in a good capacity neobladder by a simple and quick operation. Results of this technique in 38 Patients, with a mean follow-up of 13.5 months (2 to 36.9 months), point out its reliability, good tolerance of the high urinary tract and obtaining of a satisfying continence in most of the patients. The only real risk, that is stone formation on staples, seem negligible according literature, and only one case was observed in this series urodynamic results are presented and do not seem in close relation with clinical state, nor having any predictive value. At last considerations on cystoplasties continence are discussed, and nocturnal continence of neobladders is debated.