| Intestinocystoplasty in combination with clean intermittent catheterization in the management of vesical dysfunction. | |
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MedLine Citation:
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PMID: 3723679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Intestinocystoplasty in combination with clean intermittent catheterization has been used in the management of 60 young patients with bladder dysfunction. Of the patients 39 (65 per cent) had the primary diagnosis of myelomeningocele, 8 had sacral agenesis, 3 had spinal cord tumors and 1 had spinal cord trauma. The remaining 9 patients had either congenital, surgical or traumatic loss of all or a large portion of the bladder. Of the 60 patients 30 had undergone prior urinary diversion, while the remaining 30 were considered failures with management by clean intermittent catheterization and medication. A total of 16 patients underwent ileocecocystoplasty, while 44 had augmentation with either cecum (8), sigmoid (18) or ileum (18). Mean followup was 4 years (range 16 months to 7 years). Fifty-nine patients have stable or improved renal function and the excretory urogram is stable or improved in all 60. Of the patients 38 (63 per cent) were considered dry after the initial bladder augmentation, while an additional 14 were rendered dry by a second procedure consisting of bladder neck reconstruction or placement of the artificial urinary sphincter, for a total of 52 (87 per cent) currently considered to be dry. Eleven patients have had at least 1 symptomatic urinary tract infection (18 per cent) and 21 had a positive urine culture but remained asymptomatic. In contrast to earlier beliefs, intestinocystoplasty can be applied effectively and appropriately to patients with bladder and urethral dysfunction. Intestinocystoplasty combined with clean intermittent catheterization offers a significant alternative to diversion in such patients. |
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Authors:
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M E Mitchell; T B Kulb; D J Backes |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of urology Volume: 136 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 1986 Jul |
Date Detail:
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Created Date: 1986-07-31 Completed Date: 1986-07-31 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 288-91 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Bladder Exstrophy / therapy* Cecum / surgery Child Child, Preschool Colon, Sigmoid / surgery Follow-Up Studies Humans Ileum / surgery Infant Prostheses and Implants Time Factors Urinary Bladder / surgery* Urinary Bladder, Neurogenic / therapy* Urinary Catheterization* Urinary Diversion* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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