Comparing the Suspension Uretheroileal Technique and Conventional Surgery During Open Radical Cystectomy and Ileal Neobladder Reconstruction in Bladder Cancer Patients

What this Trial Is About

This research aims to compare the outcomes of two surgical techniques used during open radical cystectomy and ileal neobladder reconstruction for patients with bladder carcinoma. The study focuses on evaluating the difference in continence rates over time between the suspension uretheroileal technique and the conventional approach. The suspension technique involves securing the puboprostatic ligaments and dorsal vein complex to suspend the poucho-urethral anastomosis, which may affect postoperative urinary control. Participants are randomly assigned to one of two groups one undergoing the suspension uretheroileal technique, which includes specific suturing to suspend the new bladder neck, and the other receiving the conventional radical cystectomy and ileal neobladder procedure without suspension. Both surgical methods involve removing the prostate and reconstructing the ileal pouch by everting the mucosa and suturing it with absorbable sutures. The urethral anastomosis is carefully sutured to ensure mucosa-to-mucosa connection, with minor differences in the placement of suspension sutures. During the study, continence rates will be assessed at 1, 3, 6, and 12 months after surgery to evaluate urinary function. Participants will be monitored for postoperative recovery and complications related to the urinary reconstruction. The study lasts for at least one year post-procedure, focusing on functional outcomes after the surgical intervention, with safety and effectiveness indicators tracked through scheduled follow-ups.

Outcomes of Uretheroileal Suspension Technique During Open Radical Cystectomy