Document Detail

Enterocystoplasty versus detrusorectomy: outcome in the adult spina bifida patient.
MedLine Citation:
PMID:  23017520     Owner:  NLM     Status:  Publisher    
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.
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:
Type:  JOURNAL ARTICLE     Date:  2012-9-24
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Department of Urology, Utrecht University Medical Center, Utrecht, The Netherlands. Electronic address:
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