An orthotopic neobladder is surgically created as a bladder substitute after a cystectomy,prostatectomy,or hysterectomy is performed for bladder cancer.Bladder substitution relies on meticulous dissection with preservation of the urinary sphincter and neurovascular bundles,as well as a watertight urethral anastomosis.Also termed the Le Bag continent diversion,which segments of the bowel and/or small intestine are used in this technique to create the neobladder?

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The orthotopic ileocolic neobladder,or Le Bag continent diversion technique,uses the right colon and ileum as an orthotopic bladder replacement.Contraindications include previous radiation therapy,bowel disease (e.g.,diverticulosis,Crohn's disease,colitis),and other major medical problems.

An Orthotopic Neobladder Is Surgically Created as a Bladder Substitute