Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University12010.18499/2070-478X-2013-6-3-343-348UnknownThe Choice of Method of Urinary Diversion after CystectomyPhD, Assistant Department of Hospital Surgery, Urology State budget institution of higher education "Orenburg State Medical Academy" of the Ministry of Health of the Russian Federationauthor@vestnik-surgery.comMD, chief surgeon of the Federal State Institution "2 Central Military Hospital. PV Mandryka" of the Ministry of Defense of the Russian Federation;author@vestnik-surgery.comMD, Professor, Head of the Department of Hospital Surgery, Urology State budget institution of higher education "Orenburg State Medical Academy" of the Ministry of Health of the Russian Federationauthor@vestnik-surgery.comPhD, Department of Urology Resident Federal State Institution "2 Central Military Hospital. PV Mandryka "of the Ministry of Defense of the Russian Federationauthor@vestnik-surgery.comOrenburg State Medical Academy, Orenburg, Russian Federation2nd Central Military Hospital P.V.Mandryka, Moscow, Russian Federation24092013633433482704201627042016Copyright © 2013, ., ., ., .2013Relevance Decision on the choice of urinary diversion after cystectomy due to the increased incidence of bladder cancer is an important issue at present in urology. The purpose of the study Evaluation of the surgical treatment of patients with functional and organic disorders of the bladder operated on using the methods of intestinal derivation of urine. Materials and methods Analyzes the results of treatment of 110 patients who underwent cystectomy with different types of urinary diversion by original techniques. Transactions are recorded at length bowel resection, the technique of formation and shape of the bladder, pre-calculated amount of orthotopic bladder antireflux technique was used to create ureteral-intestinal anastomoses. Results and their discussion The use of original methods of formation of orthotopic bladder or intestinal reservoir has reduced the number of postoperative complications. In the early postoperative period, the volume of the bladder reaches its scheduled during surgery. During the first 6 months after surgery in 93% of patients with orthotopic bladder incontinence stopped. The results of urodynamic studies show an adequate urination in this group of patients. Quality of life was higher in patients in the group with orthotopic bladder, compared with a group of patients with heterotopic urinary reservoir, but at a later date statistically significant difference between the groups of indicators not. Conclusion Results of the study show the effectiveness of the procedures used to ensure in the future quality of life of patients.Cystectomyurinary diversionartificial urinary bladderЦистэктомиядеривация мочиартифициальный мочевой пузырь[1. Veliev E.I., Loran O.B. Problema otvedeniya mochi posle radikal'noj cistehktomii i sovremennyh podhodov k ee resheniyu [The problem of urinary diversion][after radical cystectomy and modern approaches to solving][it]. Prakticheskaia onkologiia, 2003; 4: 4: 231 – 234. - (In][Russian)][2. Darenkov S.P., Sokolov A.E., Ochcharkhadzhiev S.B.][Problema otvedeniya mochi posle radikal'noj cistehktomii i sovremennyh podhodov k ee resheniyu [Short-and long-term results of ureterosigmostomy with the][formation of a reservoir by Mainz-Pouch II and Hassan].][Urologiia, 2004; 2: 7-12. - (In Russian)][3. Komiakov B.K., Fadeev V.A., Novikov A.I. Urodinamiki ortotopicheskoj mochevogo puzyrya [Urodynamics][of the orthotopic bladder]. Urologiia, 2006; 4: 13-16. - (In][Russian)][4. Matveev B.P., Volkova M.I., Figurin K.M., Peters M.V.][Spasatel'noe cistehktomii u pacientov s perekhodno-kletochnym rakom mochevogo puzyrya [The salvage cystectomy in patients with transitional cell][carcinoma of the urinary bladder]. Onkourologiia, 2009; 1:][27–31. - (In Russian)][5. Matveev B.P., Figurin K.M., Kariakin O.B. Rak mochevogo][puzyria [Bladder cancer]. Moscow, Verdana Publ., 2001.][181 p. - (In Russian)][6. Pereverzev A.S., Petrov S.B. Opukholi mochevogo puzyria][[Bladder tumors]. Kharkov, 2002. 303 p. - (In Russian)][7. Hautmann R.E., Abol-Enein H., Hafez K. Mochevoj ne po naznacheniyu [Urinary diversion].][Urology, 2007; 69: 1: 17-49.][8. Nagele U., Kuczyk M., Anastasiadis A.G., Sievert K.D.,][Seibold J., Stenzl A. Radikal'noj cistehktomii i cistoplastiki Zamena u zhenshchin [Radical Cystectomy and Orthotopic][Bladder Replacement in Females]. Eur. Urol., 2006; 50; 249-][257.][9. Riddick A.C., Turner W.H., Mills R.D. Funkciya kishechnika v otvedeniya mochi [ Bowel function in][urinary diversion]. World J. Urol., 2004; 22: 210–214.][10. Studer U.E., Burkhard F.C., Schumacher M., Kessler T.M.,][Thoeny H., Fleischmann A., Thalmann G.N. Dvadcat' let opyt raboty s puzyrem Ileal- Ortotopicheskaya Nizkoe davlenie][Zapasnoj - uroki, kotorye mozhno izvlech' [Twenty Years][Experience With an Ileal- Orthotopic Low Pressure Bladder][Substitute - Lessons to be Learned]. J. Urol., 2006; l76: 161-][166.][11. Stein J.P., Skinner D.G. Rezul'taty s radikal'noj cistehktomii pri lechenii raka mochevogo puzyrya: a «ehtalon» dlya vysokogo klassa, invazivnym rakom mochevogo puzyrya [Results with radical cystectomy for][treating bladder cancer: a «reference standart» for highgrade,][invasive bladder cancer]. BJU Int., 2003; 92: l:]