| Enterocystoplasty in the neuropathic bladder. | |
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MedLine Citation:
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PMID: 7742849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with neuropathic bladders who have intractable hyperreflexia often require cystoplasty and in patients adequately motivated and counselled, continence rates in excess of 90% can be achieved. Seventy-eight patients with neurological disease have undergone enterocystoplasty and are presented. Twenty-two patients had acquired cord lesions of which 17 were traumatic. Of the 56 patients with congenital myelodysplasia, 49 were meningomyelocele, 5 had sacral agenesis, and 2 lipoma of cauda equina. The mean age was 26 (range 13-61) years with 48 male and 30 females. Pre-operative video urodynamics showed sphincter weakness in 54 patients, all patients had intermediate type bladders; hyperreflexia in 52, reduced compliance in 17, and in 7 a combination of both. Forty-seven patients had ileal, 20 had sigmoid, and 11 had ileocaecal cystoplasty. Fifty-two patients had an artificial urinary sphincter inserted, 9 had a colposuspension, and 1 had both for concurrent sphincter weakness incontinence. Acceptable continence has been achieved in 73 (93.6%) patients, 65 claiming complete continence with no pads or incontinence episodes and the 8 others needing pharmacotherapy or pads. Two of our 5 failures have been converted to an ileal loop, 2 are awaiting further surgery, and 1 is wet despite normal urodynamics. Our threshold for initiating intermittent catheterisation is low and 63 (81%) of our patients catheterise. Complications in these patients are few and the only one of note is persistent bowel problems in 30% of our patients. Cystoplasty is recommended as safe and reliable in the treatment of neurogenic detrusor over activity with a continence rate of 93% being achieved.(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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G Singh; D G Thomas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurourology and urodynamics Volume: 14 ISSN: 0733-2467 ISO Abbreviation: Neurourol. Urodyn. Publication Date: 1995 |
Date Detail:
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Created Date: 1995-06-14 Completed Date: 1995-06-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8303326 Medline TA: Neurourol Urodyn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 5-10 Citation Subset: IM |
Affiliation:
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Department of Urology, Lodge Moor Hospital, Sheffield, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Distribution Aged Female Follow-Up Studies Humans Male Middle Aged Neurons Urinary Bladder / pathology* Urinary Bladder Diseases / etiology, therapy* Urinary Sphincter, Artificial Urinary Tract |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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