Metabolic consequences of orthotopic ileal neobladder.

Abstract

Purpose: Orthotopic ileal bladder substitution is a well accepted form of urinary diversion providing high quality of life. However, potential metabolic consequences remain a serious problem. These complications are discussed in the present article.

Material and methods: Authors review the metabolic complications of 45 orthotopic ileal neobladder cases.

Results: Insufficient absorption (malabsorption) associated with ileal resection is quite rare, while hyperchloremic metabolic acidosis after ileal neobladder is a rather common phenomenon (55%).

Conclusion: Authors suggest careful patient selection, correct operative technique and vigilant follow-up for successful treatment of metabolic complications.