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Sigmoidocolocystoplasty With Ureteral Reimplantation for Treatment of Neurogenic Bladder

ObjectiveTo assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. MethodsWe retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystop... Full description

Journal Title: Urology August 2012, Vol.80(2), pp.440-445
Main Author: Zhang, Fan
Other Authors: Liao, Limin
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0090-4295 ; DOI: 10.1016/j.urology.2012.05.010
Link: http://dx.doi.org/10.1016/j.urology.2012.05.010
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recordid: sciversesciencedirect_elsevierS0090-4295(12)00541-9
title: Sigmoidocolocystoplasty With Ureteral Reimplantation for Treatment of Neurogenic Bladder
format: Article
creator:
  • Zhang, Fan
  • Liao, Limin
subjects:
  • Adult–Surgery
  • Colon–Surgery
  • Colon, Sigmoid–Surgery
  • Female–Surgery
  • Follow-Up Studies–Surgery
  • Humans–Methods
  • Male–Methods
  • Retrospective Studies–Methods
  • Time Factors–Methods
  • Ureter–Methods
  • Urinary Bladder–Methods
  • Urinary Bladder, Neurogenic–Methods
  • Urinary Reservoirs, Continent–Methods
  • Urologic Surgical Procedures–Methods
ispartof: Urology, August 2012, Vol.80(2), pp.440-445
description: ObjectiveTo assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. MethodsWe retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystoplasty alone or combined with ureter reimplantation. The indications for surgery and postoperative complications were evaluated. Renal function preservation, increased postoperative bladder capacity, decreased maximal detrusor pressure, and overall patient satisfaction were deemed successful outcomes. ResultsThe mean follow-up period was 24 months. The mean bladder capacity increased from 160.6 ± 128.3 to 468.5 ± 60.6 mL (P < .001) and the maximal detrusor pressure decreased from 31.1 ± 26.4 to 10.9 ± 4.5 cm H2O (P = .002). The serum creatinine level decreased from 270.3 ± 113.6 to 174.4 ± 81.3 μmol/L (P = .001). Most patients resolved the urinary incontinence using clean self-intermittent catheterization. The decrease in the mean number of incontinence episodes and pads used daily indicated a marked improvement in patients' quality of life. Postoperative complications included bowel dysfunction in 5 patients (10.6%), adhesive intestinal obstruction in 4 (8.5%), deteriorating renal function in 3 (6.4%), and vesicoureteral reflux recurrence in 2 patients (4.3%). Nearly all patients expressed satisfaction with the urologic management. ConclusionOur results suggest that sigmoidocolocystoplasty is safe and effective in treating patients with neurogenic bladder dysfunction. Concomitant ureter reimplantation will be beneficial for patients with a long history of illness.
language: eng
source:
identifier: ISSN: 0090-4295 ; DOI: 10.1016/j.urology.2012.05.010
fulltext: fulltext
issn:
  • 00904295
  • 0090-4295
url: Link


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titleSigmoidocolocystoplasty With Ureteral Reimplantation for Treatment of Neurogenic Bladder
creatorZhang, Fan ; Liao, Limin
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identifierISSN: 0090-4295 ; DOI: 10.1016/j.urology.2012.05.010
descriptionObjectiveTo assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. MethodsWe retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystoplasty alone or combined with ureter reimplantation. The indications for surgery and postoperative complications were evaluated. Renal function preservation, increased postoperative bladder capacity, decreased maximal detrusor pressure, and overall patient satisfaction were deemed successful outcomes. ResultsThe mean follow-up period was 24 months. The mean bladder capacity increased from 160.6 ± 128.3 to 468.5 ± 60.6 mL (P < .001) and the maximal detrusor pressure decreased from 31.1 ± 26.4 to 10.9 ± 4.5 cm H2O (P = .002). The serum creatinine level decreased from 270.3 ± 113.6 to 174.4 ± 81.3 μmol/L (P = .001). Most patients resolved the urinary incontinence using clean self-intermittent catheterization. The decrease in the mean number of incontinence episodes and pads used daily indicated a marked improvement in patients' quality of life. Postoperative complications included bowel dysfunction in 5 patients (10.6%), adhesive intestinal obstruction in 4 (8.5%), deteriorating renal function in 3 (6.4%), and vesicoureteral reflux recurrence in 2 patients (4.3%). Nearly all patients expressed satisfaction with the urologic management. ConclusionOur results suggest that sigmoidocolocystoplasty is safe and effective in treating patients with neurogenic bladder dysfunction. Concomitant ureter reimplantation will be beneficial for patients with a long history of illness.
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subjectAdult–Surgery ; Colon–Surgery ; Colon, Sigmoid–Surgery ; Female–Surgery ; Follow-Up Studies–Surgery ; Humans–Methods ; Male–Methods ; Retrospective Studies–Methods ; Time Factors–Methods ; Ureter–Methods ; Urinary Bladder–Methods ; Urinary Bladder, Neurogenic–Methods ; Urinary Reservoirs, Continent–Methods ; Urologic Surgical Procedures–Methods;
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descriptionObjectiveTo assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. MethodsWe retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystoplasty alone or combined with ureter reimplantation. The indications for surgery and postoperative complications were evaluated. Renal function preservation, increased postoperative bladder capacity, decreased maximal detrusor pressure, and overall patient satisfaction were deemed successful outcomes. ResultsThe mean follow-up period was 24 months. The mean bladder capacity increased from 160.6 ± 128.3 to 468.5 ± 60.6 mL (P < .001) and the maximal detrusor pressure decreased from 31.1 ± 26.4 to 10.9 ± 4.5 cm H2O (P = .002). The serum creatinine level decreased from 270.3 ± 113.6 to 174.4 ± 81.3 μmol/L (P = .001). Most patients resolved the urinary incontinence using clean self-intermittent catheterization. The decrease in the mean number of incontinence episodes and pads used daily indicated a marked improvement in patients' quality of life. Postoperative complications included bowel dysfunction in 5 patients (10.6%), adhesive intestinal obstruction in 4 (8.5%), deteriorating renal function in 3 (6.4%), and vesicoureteral reflux recurrence in 2 patients (4.3%). Nearly all patients expressed satisfaction with the urologic management. ConclusionOur results suggest that sigmoidocolocystoplasty is safe and effective in treating patients with neurogenic bladder dysfunction. Concomitant ureter reimplantation will be beneficial for patients with a long history of illness.
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abstractObjectiveTo assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. MethodsWe retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystoplasty alone or combined with ureter reimplantation. The indications for surgery and postoperative complications were evaluated. Renal function preservation, increased postoperative bladder capacity, decreased maximal detrusor pressure, and overall patient satisfaction were deemed successful outcomes. ResultsThe mean follow-up period was 24 months. The mean bladder capacity increased from 160.6 ± 128.3 to 468.5 ± 60.6 mL (P < .001) and the maximal detrusor pressure decreased from 31.1 ± 26.4 to 10.9 ± 4.5 cm H2O (P = .002). The serum creatinine level decreased from 270.3 ± 113.6 to 174.4 ± 81.3 μmol/L (P = .001). Most patients resolved the urinary incontinence using clean self-intermittent catheterization. The decrease in the mean number of incontinence episodes and pads used daily indicated a marked improvement in patients' quality of life. Postoperative complications included bowel dysfunction in 5 patients (10.6%), adhesive intestinal obstruction in 4 (8.5%), deteriorating renal function in 3 (6.4%), and vesicoureteral reflux recurrence in 2 patients (4.3%). Nearly all patients expressed satisfaction with the urologic management. ConclusionOur results suggest that sigmoidocolocystoplasty is safe and effective in treating patients with neurogenic bladder dysfunction. Concomitant ureter reimplantation will be beneficial for patients with a long history of illness.
pubElsevier Inc.
doi10.1016/j.urology.2012.05.010
eissn15279995
date2012-08