| Mini-vesicostomy in the management of PUV after valve ablation. | |
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MedLine Citation:
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PMID: 21163706 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To determine the usefulness of infra-umbilical mini-vesicostomy in infants with posterior urethral valves (PUV), in developing countries. This new technique facilitates clean intermittent catheterization (CIC) and overnight bladder drainage, which have been effectively used for the treatment of valve bladders in the developed world. METHODS: A retrospective analysis of the records of three infants who underwent a mini-vesicostomy between 2005-2009 was done. All were put on CIC in the neonatal period. Monitoring of renal parameters, bladder function and structural changes in the bladder was done before and after 4 years of CIC. RESULTS: All three showed a decrease in upper tract dilatation, improvement in cortical function and improvement of bladder compliance at the end of 4 years. Two patients are on CIC through vesicostomy and can pass a good stream of urine per urethraly, and in one the vesicostomy has been closed. CONCLUSION: Mini-vesicostomy is a useful option to allow CIC on a long-term basis in children with PUV. There were no complications with this technique in this small group of patients, and it has been well accepted by their families. |
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Authors:
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Monika Nanda; Monika Bawa; K L Narasimhan |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-12-16 |
Journal Detail:
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Title: Journal of pediatric urology Volume: 8 ISSN: 1873-4898 ISO Abbreviation: J Pediatr Urol Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-13 Completed Date: 2012-06-28 Revised Date: 2013-01-03 |
Medline Journal Info:
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Nlm Unique ID: 101233150 Medline TA: J Pediatr Urol Country: England |
Other Details:
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Languages: eng Pagination: 51-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Pediatric surgery, Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, UT 160012, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cohort Studies Cystostomy / methods* Developing Countries Female Follow-Up Studies Humans Infant Infant, Newborn Intermittent Urethral Catheterization / methods Male Renal Insufficiency / prevention & control Retrospective Studies Risk Assessment Surgical Procedures, Minimally Invasive / methods Treatment Outcome Urethra / abnormalities*, surgery Urinary Bladder / abnormalities, surgery* Urodynamics Urography |
| Comments/Corrections | |
Comment In:
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J Urol. 2012 Dec;188(6):2369-70
[PMID:
23141278
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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