ABSTRACT
The ideal bladder replacement provides a large capacity low-pressure continent storage with spontaneous volitional voiding at normal intervals with no adverse effects.
History and development
Tizzoni and Poggi described the first neobladder in a dog model in 1888,1 whilst Verhogen reported the first cutaneous continent diversion in 1908.2 Initial results were unsurprisingly poor given the absence of good anesthesia and antibiotics, and the technique of orthotopic neobladder did not gain popularity until the 1970s following the pioneering work of Kock.3-6 Since this time many different techniques have been reported utilizing all segments of bowel: each of which has its own particular advantages and disadvantages. Cecal and right colonic neobladders were developed and popularized by a variety of groups in the 1980s,7-10 and the particular benefits and pitfalls of bladder replacement with right colon will now be discussed in detail.
