Orthotopic bladder substitution

Scott M. Cheney, Erik P. Castle

Research output: Chapter in Book/Report/Conference proceedingChapter


Orthotopic neobladder has been a commonly used option for urinary diversion since the 1980s. Advantages of this type of diversion are the ability to avoid an ostomy, voiding function similar to the native bladder, and improved cosmesis. Drawbacks unique to a neobladder include urinary incontinence, incomplete emptying, need for self-intermittent catheterization (SIC), and longer operative times. Indications for orthotopic diversion are: Absence of malignancy of the prostatic urethra in men or the bladder neck in women, adequate renal function (GFR >35-40), normal liver function, absence of severe urethral stricture disease, absence of inflammatory bowel disease (IBD), and a reliable patient with good mental status and dexterity. Many viable surgical techniques exist and offer good functional and oncological outcomes. Robotic intracorporeal neobladder creation has demonstrated similar outcomes to open technique, and represents a promising minimally invasive diversion for the future.

Original languageEnglish (US)
Title of host publicationPelvic Cancer Surgery
Subtitle of host publicationModern Breakthroughs and Future Advances
PublisherSpringer-Verlag London Ltd
Number of pages9
ISBN (Electronic)9781447142584
ISBN (Print)9781447142577
StatePublished - Jan 1 2015


  • Bladder cancer
  • Neobladder
  • Orthotopic bladder substitute
  • Urethral margin
  • Urinary diversion

ASJC Scopus subject areas

  • Medicine(all)


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