Surgical Film Library-Continent Urinary Reservoirs (Miami Pouch Vs. Rome Pouch) And Partial Uretero-Cystectomy With Bladder Preservation

Continent Urinary Reservoirs (Miami Pouch Vs. Rome Pouch) And Partial Uretero-Cystectomy With Bladder Preservation

Video Transcription

Video Summary

The presentation covers continent urinary diversion options, focusing on the Miami and Rome pouches, both using a bowel segment for a low-pressure reservoir with an ileocecal valve for continence. The Miami pouch involves detubularizing and flipping the colon, while the Rome pouch uses tineautomy preserving bowel mucosa, reducing pressure and sutures, beneficial for previously irradiated patients. The importance of the anterior parametrium in radical hysterectomy and cancer recurrence is emphasized, with tailored resections based on tumor extent. Bladder preservation is possible in select cases with ureteroneocystostomy, but often, anterior or total pelvic exenteration is needed for recurrent cancer.

Asset Subtitle

Roberto Angioli, Italy

Meta Tag

Procedure Type Ureteroneocystostomy

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

Ureteroneocystostomy

continent urinary diversion

Miami pouch

Rome pouch

anterior parametrium

pelvic exenteration