回肠膀胱治疗间质膀胱炎.doc

回肠膀胱治疗间质膀胱炎
IlealNeobladder for Women with Interstitial Cystitis
The July - August 2007 issue of the International Braz J Urol presents interesting contributions from different countries, and as usual, the editor’ment highlights some papers.
Doctor Kochakarn and co-workers, from Mahidol University, Bangkok, Thailand, reported on page 486 their experience with cystectomy and ilealneobladder for women suffering from interstitial cystitis (IC). The authors studied 35 patients with the mean age of ± years. All of them had experience of suprapubic pain with irritative voiding symptom and were diagnosed as having IC based on NIDDK criteria for at least 2 years. Conservative treatments had failed to relieve their symptoms; therefore, all of them agreed to undergo a bladder removal. All patients reached good treatment e with regard to both diurnal and nocturnal urinary control without any pain. Quality of life using SF-36 questionnaire showed
significant improvement of both physical health and mental health. Spontaneous voiding with minimal residual urine was found in 33 cases (%), and 2 cases (%) had spontaneous voiding with residual urine and lived with clean
intermittent catheterization. Twelve out of 30 cases with sexually active ability had a mild degree of dyspareunia but without disturbance to sexual life.
The authors concluded that bladder substituti