Document Detail


Intermittent catheterization following enterocystoplasty.
MedLine Citation:
PMID:  7663908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the segment of bowel used in enterocystoplasty and the need to perform intermittent self-catheterization (ISC) after enterocystoplasty for the treatment of incontinence. PATIENTS AND METHODS: Of 123 patients undergoing enterocystoplasty, 77 (mean age 29.5 years, range 13-61) had neurogenic disease (NB group) and 46 (mean age 45.7 years, range 16-74) had non-neuropathic bladders (NNB group). The success of enterocystoplasty, with respect to the segment of bowel used and the need for ISC, was assessed during a follow-up of 6-125 months. RESULTS: Ileum was used in 84 (63.8%), ileum and caecum in 19 (15.4%) and sigmoid in 20 (16.3%) patients. In the NB group, more patients had a sigmoid cystoplasty (24.7 vs 2.2%) and less (67 vs 80%) had an ileo-cystoplasty than in the NNB group. A total of 87 (71%) patients required ISC; 63 (82%) of the NB group and 24 (52%) of the NNB group. The influence of the intestinal segment was conspicuous in the NB group, with 82% and 95% of patients with ileocaecal and sigmoid cystoplasty needing ISC against 77% of those patients with ileal cystoplasty. The difference was not so evident in the NNB group. CONCLUSIONS: A social continence rate of 93.6% in the NB and 84.8% in the NNB patients was achieved, partly due to the patients' success with ISC, a necessary skill to be mastered by all patients before undergoing enterocystoplasty.
Authors:
G Singh; D G Thomas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of urology     Volume:  76     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-10-10     Completed Date:  1995-10-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  175-8     Citation Subset:  IM    
Affiliation:
Lodge Moor Hospital, Sheffield, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Female
Humans
Intestines / transplantation*
Male
Middle Aged
Postoperative Care
Self Care
Treatment Outcome
Urinary Bladder / surgery*
Urinary Bladder, Neurogenic / surgery
Urinary Catheterization / methods*
Urinary Incontinence / surgery*

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