An Orthotopic Neobladder Is Surgically Created as a Bladder Substitute

question 21

Multiple Choice

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," what segments of the bowel and/or small intestine are used in this technique to create the neobladder?

• A) Segment of sigmoid colon
• B) Right colon and ileum
• C) Proximal right colon segment with cecum
• D) Transverse colon

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