| Enterocystoplasty versus detrusorectomy: outcome in the adult spina bifida patient. | |
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MedLine Citation:
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PMID: 23017520 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Bladder augmentation by enterocystoplasty or detrusorectomy might prevent renal damage, help in achieving dryness and decrease the need for antimuscarinics. This study examines the long-term outcomes of enterocystoplasty compared to detrusorectomy in adult spina bifida patients in comparable groups. MATERIALS AND METHODS: A retrospective study using the hospital electronic database was performed. Forty-seven spina bifida patients (median age at follow-up 26.8 years) who underwent either enterocystoplasty or detrusorectomy between 1988 and 2004 were identified. Median follow-up was 13.1 years in the detrusorectomy group and 15.3 years in the enterocystoplasty group. RESULTS: In the detrusorectomy group, four failures needing re-operation were identified; all underwent a secondary enterocystoplasty. No re-operation was necessary in the enterocystoplasty group. Preoperative bladder volume was approximately 100 mL (though not significantly) higher in the detrusorectomy group. There was a significant larger improvement of median bladder volume in the enterocystoplasty group (+300 mL vs. +77.5 mL, p = 0.006). No differences in continence rate, antimuscarinic use and condition of the upper tract were found. CONCLUSIONS: In this series of 47 patients, outcomes on the longer term were good after both enterocystoplasty and detrusorectomy, although bladder volume showed a greater increase in the enterocystoplasty group. No differences were observed among the other outcomes. If preoperative bladder volume is sufficient, detrusorectomy can be considered before enterocystoplasty is done. |
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Authors:
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Paul W Veenboer; Sven Nadorp; Tom P V M de Jong; Pieter Dik; Floris W A van Asbeck; J L H Ruud Bosch; Laetitia M O de Kort |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-24 |
Journal Detail:
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Title: The Journal of urology Volume: - ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Urology, Utrecht University Medical Center, Utrecht, The Netherlands. Electronic address: P.W.Veenboer-2@umcutrecht.nl. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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