Does the type of bladder augmentation influence the resolution of pre-existing vesicoureteral reflux? Urodynamic studies
| Autor: | Zsolt Oberritter, Reka Somogyi, Peter Vajda, Andrew Pintér, Khaled Fathi, Zsolt Juhasz |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Meningomyelocele Adolescent Colon Urology medicine.medical_treatment Urinary Bladder Urodynamic studies urologic and male genital diseases Urologic Surgical Procedure Vesicoureteral reflux Urinary catheterization Pressure Humans Medicine Child Augmentation cystoplasty Retrospective Studies Vesico-Ureteral Reflux business.industry Bladder Exstrophy Stomach Urinary Bladder Diseases Reflux Retrospective cohort study medicine.disease female genital diseases and pregnancy complications Surgery Intestines Urodynamics Treatment Outcome Bladder augmentation Urologic Surgical Procedures Female Neurology (clinical) Urinary Catheterization business Follow-Up Studies |
| Zdroj: | Neurourology and Urodynamics. 27:412-416 |
| ISSN: | 1520-6777 0733-2467 |
| Popis: | Aims The type of bladder augmentation on pre-existing vesicoureteral reflux (VUR) was assessed. The effects of urodynamic changes on the resolution of VUR following augmentation cystoplasty performed with various gastrointestinal segments were examined. It was queried whether elimination of high-pressure bladder is sufficient to resolve pre-existing reflux. Methods A retrospective record review of patients who underwent bladder augmentation between 1987 and 2004. Patients were divided into two groups. Group I included patients who had a simultaneous augmentation and ureteral reimplantation. Group II included patients with reflux in whom only a bladder augmentation was performed. Pre-and post-augmentation urodynamic results were compared in both groups. The outcome of VUR and the role of various gastrointestinal (GI) segments on the resolution of VUR were studied. Results Sixty-three patients underwent bladder augmentation during the study period. Twenty-six of them had VUR before augmentation. There were 10 patients in Group I and 16 patients in Group II. In Group I, VUR ceased in all patients, while in group II, VUR resolved in 14 patients and persisted in two patients. Small and large bowel segments used for augmentation had no effect on the resolution of VUR but the results of gastrocystoplasties were less favorable. Urodynamically there was no significant difference between the various augmentation cystoplasties. Conclusions Bladder augmentation alone without simultaneous antireflux repair is usually sufficient for the resolution of pre-existing reflux. The various GI segments used for augmentation have no effect on urodynamic results and the resolution of VUR. Neurourol. Urodynam. 27:412–416, 2008. © 2007 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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