Criteria for a neobladder in a female

Knowing what I know today, I think I'd tend to recommend the Indiana Pouch for women. I know I'm not a women but I'm fine with you ladies commenting on my "men related" stuff so I figure you will probably be ok with me commenting on women related issues.

Even minor complications like I have would be a bigger pain for women. For example, I have to catheterize now every time I go to the bathroom. For me, that's not such a huge deal, but I would expect that the risk of infection for women (especially when we talk about public restrooms) would be a good bit higher. My catheter and I are nowhere near that toilet seat when I put a catheter in.

Given that women have shorter urethras, there are much higher continence risks (I believe both incontinence and hypercontinence).

Mike

A good doc would definitely be key.

Webs

When considering women for orthotopic lower urinary tract reconstruction, three important criteria must be fulfilled:

1 The external sphincter mechanism must be saved to provide continence and allow volitional voiding via the urethra.

2 The urethral support and the pelvic floor musculature have an important role in the urinary continence mechanism and must remain intact.

3 Cancer surgery must not be compromised by bladder replacement at the urethroenteric anastomosis, retained urethra, or surgical margins.

If these three criteria can be safely maintained, female bladder cancer patients may be considered appropriate candidates for orthotopic urinary tract reconstruction.

need a really good doc wouldn't you say?

Pat