Rotundovaginopexy in orthotopic ileal neobladder following radical cystectomy in women.

Abstract

The technique of rotundovaginopexy after cystectomy in females is described. Four cases, two of them with over 12 months of follow-up are presented in whom this technique was used. Rotundovaginopexy stabilizes the vagina and thus prevents descent of the neobladder. Therefore the position of the neobladder is truly orthotopic. Thus continence and micturition are optimized. With this technique a truly orthotopic neobladder position can be achieved. The technique is simple to accomplish, even if hysterectomy has been performed long before. Pouchocele with possible complications such as secondary increased post-void residuals or incontinence may be avoided.