{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:41:30Z","timestamp":1757619690510,"version":"3.44.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Egypt Natl Canc Inst"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>To balance the extended functional urinary voiding and morbidity outcomes amid Ileal W and Y-shaped contrasted to spherical ileocoecal (IC) orthotopic bladders subsequent prostate-sparing radical cystectomy (PRC) versus standard radical cystoprostatectomy (RC).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material and methods<\/jats:title>\n            <jats:p>Two hundred eight male bladder cancer patients were grouped into 98 RC followed by 43-W, 31-Y, and 23-IC in comparison to 110 PRC followed by 35-W, 37-Y, and 38-IC. The functional voiding outcomes were determined by detailed patients\u2019 interview and urodynamic studies (UDS).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Twenty-four hour pad-free continence for PRC at the 6th month was (37, 25, and 36%) as regards W, Y, and IC in that order, improved to (51, 44, and 51%) at the 12th month and (68, 70, 73%) at the 5th year. Nocturnal continence at the 12th month was (60, 56 and 59%). After 73\u00a0months median surveillance, day-time control was 90% equal for the 3 pouch configurations. RC patients faced inferior continence rates exclusively during nocturnal time. Urethral pressures started higher for PRC and increased over time, resulting in diminution of stress frequency.<\/jats:p>\n            <jats:p>Delayed pouch morbidities were 41% for W vs. 22.4% and 25% among Y and IC series. Urethral recurrences were non-existent in both groups without atypical or metaplastic changes. Mucosal pattern persisted in 60% while muscular coat atrophied in 83% of ileal and 40% of colon walls.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Voiding control parameters for PRC were significantly superior. Though early continence is in favor of W pouches, delayed observation showed equivalent Y and IC results besides least delayed pouch-related morbidities for IC.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s43046-025-00316-9","type":"journal-article","created":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T23:01:56Z","timestamp":1757286116000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prostate sparing radical cystectomy and neobladder: institutional long-standing qualified consideration"],"prefix":"10.1186","volume":"37","author":[{"given":"Omaya","family":"Nassar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iman Gouda","family":"Farahat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"issue":"1","key":"316_CR1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1111\/bju.12121","volume":"113","author":"RK Lee","year":"2014","unstructured":"Lee RK, Abol-Enein H, Artibani BB, et al. urinary diversion after radical cystectomy for bladder cancer: options, patient selection, and outcomes. 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Patients provided informed consent and agreed to participate in the study and were informed by the details of this research. Being a human study, it was conducted in accordance with the Helsinki Declarations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Patients provided informed consent and agreed to publication of the details of this research including individual details and images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"58"}}