[Augmentation ileocystoplasty in neurologic bladder].
| Autor: | Fontaine E; Service de Chirurgie Urologique, Hôpital Ambroise Paré, France., Mongiat-Artus P, Desert JF, Barthelemy Y, Chartier E, Beurton D |
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| Jazyk: | francouzština |
| Zdroj: | Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 1996 Dec; Vol. 6 (6), pp. 901-6. |
| Abstrakt: | Objective: The authors evaluated the results of augmentation ileocystoplasty in patients presenting with neurogenic urinary incontinence. Materials and Methods: A prospective study was conducted in 36 patients (25 women, 11 men) 30 of whom simultaneously underwent a bladder neck continence procedure. The mean follow-up was 32.2 months. Results: Daytime continence was obtained in 32 patients (88.8%). Thirty patients (83.3%) were continent a night. The upper urinary tract did not deteriorate. One patient developed bladder stones and 2 presented a vesical perforation. Urodynamic studies showed an increased functional bladder capacity and compliance (p < 0.001) and loss of uninhibited bladder contractions. Conclusion: Augmentation ileocystoplasty is an effective and reliable surgical procedure after failure of conservative management. However, long-term complications can occur and regular surveillance is necessary. |
| Databáze: | MEDLINE |
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