{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:32:05Z","timestamp":1793197925649,"version":"4.5.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We present the short-term voiding patterns and functional and urodynamic outcomes of W-shaped ileal orthotopic neobladder (ONB) following radical cystectomy (RC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Forty-one patients who underwent RC and W-shaped ONB creation between July 2015 and January 2018 were enrolled. Data were analyzed in terms of voiding patterns, urodynamic findings, and functional outcomes at 6 months after surgery. Pouch-related quality of life (QoL) was assessed using European Organization for Research and Treatment of Cancer (EORTC) Generic (QLQ C30), Bladder Cancer-Specific Instruments (QLQ BM30), and IONB\u2013Patient-Reported Outcome (IONB-PRO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean length of follow-up was 19.4 months. At first follow-up, three patients had developed acidosis and rising serum creatinine, and one of them required temporary hemodialysis. One patient developed urethral-pouch anastomotic stricture, which required bladder neck incision. Balloon dilatation was performed for ureteroileal anastomotic stricture and mesh repair for incisional hernia was required in one patient each. Upper tract changes were observed in two patients. During the first and second follow-up, maximum flow rate, voided volume, and postvoid residual urine were 12 \u00b1 4.7 mL\/s, 212 \u00b1 120 mL, and 72 + 81 mL and 14.7 \u00b1 5.3 mL\/s, 254 \u00b1 168 mL, and 123.7 \u00b1 42.5 mL, respectively. The mean pouch capacity and compliance were 436 \u00b1 103.5 mL and 50.6 \u00b1 17.8 mL\/cm H\n                      <jats:sub>2<\/jats:sub>\n                      O. No patient required clean intermittent catheterization for bladder emptying. In EORTC QLQ-C30 questionnaire, the \u201cCognitive\u201d domain had the highest and \u201cglobal QoL\u201d domain had the lowest level of functional scores. \u201cNausea and vomiting and abdominal bloating and flatulence\u201d domain had the lowest level and \u201cfinancial difficulties and urinary symptoms\u201d had the highest level of symptomatology in EORTC QLQ questionnaire. The IONB-PRO questionnaire showed the highest level of functioning in \u201crelation life\u201d and the lowest level in \u201cemotional life\u201d domain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Ghoneim pouch has a low complication rate with near-normal voiding patterns with an acceptable QoL impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_356_18","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T04:48:37Z","timestamp":1715921317000},"page":"121-128","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Radical cystectomy and W-shaped ileal orthotopic neobladder reconstruction with serosa-lined tunneled ureteroileal anastomoses: A critical analysis of the short-term voiding patterns and urodynamic and functional outcomes"],"prefix":"10.4103","volume":"35","author":[{"given":"Uday Pratap","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Jena","sequence":"additional","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Madhavan","sequence":"additional","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay Kumar","family":"Sureka","sequence":"additional","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneesh","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-20260528","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.urology.2006.05.058","article-title":"Urinary diversion","volume":"69","author":"Hautmann","year":"2007","journal-title":"Urology"},{"key":"R3-20260528","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s00345-006-0105-z","article-title":"Long-term results of standard procedures in urology: The ileal neobladder","volume":"24","author":"Hautmann","year":"2006","journal-title":"World J Urol"},{"key":"R4-20260528","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/S0090-4295(99)00619-6","article-title":"Continent urinary reconstruction versus ileal conduit: A contemporary single-institution comparison of perioperative morbidity and mortality","volume":"55","author":"Parekh","year":"2000","journal-title":"Urology"},{"key":"R5-20260528","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S0022-5347(05)67343-0","article-title":"The orthotopic kock ileal neobladder: Functional results, urodynamic features, complications and survival in 166 men","volume":"164","author":"Steven","year":"2000","journal-title":"J Urol"},{"key":"R7-20260528","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/S0022-5347(17)35211-4","article-title":"A novel uretero-ileal reimplantation technique: The serous lined extramural tunnel. 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