OBJECTIVE: We aimed to describe our preliminary experience in creating an ileal orthotopic urinary conduit in @entity1 with a history of pelvic irradiation undergoing pelvic exenteration for recurrent @entity5 and to evaluate the feasibility, complication rates, and outcomes of this procedure. METHODS: A retrospective chart review was performed in all 6 @entity1 who underwent ileal orthotopic neobladder creation at our institution between January 2005 and March 2008. Main outcome measures were surgical complications, continence rate, neobladder function, and oncologic outcome. RESULTS: The mean @entity1 age was 46.6 years (range, 38-61). Four @entity1 underwent anterior exenteration and 2 total pelvic exenterations. There were no intraoperative complications. The median operative time was 456 min (range, 372-600). The median time to create the orthotopic urinary conduit was 70 min (range, 55-90). Three @entity1 had postoperative neobladder @entity834 . Two of them had this complication successfully managed conservatively and 1 surgically. Daytime urinary continence was good or satisfactory in 4 of 6 @entity1 . Nighttime urinary continence was good or satisfactory in 3 of 6 @entity1 . All @entity1 reported being satisfied with their decision to undergo this procedure. Median follow-up time was 20.5 months (range, 6-34). At last visit, 3 @entity1 were alive without evidence of disease, 1 was alive with stable @entity66 , and 2 had died of disease recurrence after exenteration. CONCLUSIONS: Ileal orthotopic neobladder creation in @entity1 undergoing exenteration for recurrent @entity5 is feasible after radiation. The rate of urinary continence is acceptable.

Ileal orthotopic neobladder after pelvic exenteration for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cervical cancer'] @entity66 :: ('MESH:D004194', 'Disease') :: ['retroperitoneal disease']
@entity5 :: (MESH:D009369,Disease) :: ['cervical cancer']
