Abstract：
AIMS:We evaluated the long-term results with a left antegrade continence enema (LACE) approach: "Macedo-Malone (MM) procedure" to define parameters such as clinical durability of the technique and patients' compliance with the method. METHODS:We reviewed the medical records of all patients that underwent the MM procedure in our institution since 2001 and conducted a telephonic interview to investigate the use of the enema and satisfaction with the procedure. RESULTS:Thirty-five MM procedures were performed, but eight patients lost to follow-up were excluded. Fifteen patients (55%) were female. Myelomeningocele was the clinical diagnoses in 25 (93%). Mean age at surgery was 9 years (3-27 years) and mean follow-up was 75 months (median: 56 months). The indication for LACE was clinically intractable constipation with fecal leakage. Most patients still used the stoma regularly to do the enema (74%). Mean washout time was 27 min (2-90 min). The revision rate due to stenosis was 22.2% (6/27) and all underwent suprafascial revision. We performed one classical MACE by infrafascial approach as a salvage procedure. Overall reoperation rate was 25.8% and fecal continence was 89%. There were no reports of leakage through the stoma. Among patients who still used the stoma, 74% were satisfied with surgery and would strongly recommend the procedure to another patient. CONCLUSIONS:The MM procedure is a straightforward procedure, which can be performed in 15-20 min, avoids additional entero-entero anastomosis, precludes the use of the appendix, and has shown comparable results to either "classical" MACE or other LACE variants. Neurourol. Urodynam. 36:111-115, 2017. © 2015 Wiley Periodicals, Inc.
journal_name
Neurourol Urodynjournal_title
Neurourology and urodynamicsauthors
Anselmo CB,do Amaral RD,Oliveira DE,da Cruz ML,Liguori R,Garrone G,Leslie B,Ottoni SL,Ortiz V,Macedo A Jrdoi
10.1002/nau.22880subject
Has Abstractpub_date
2017-01-01 00:00:00pages
111-115issue
1eissn
0733-2467issn
1520-6777journal_volume
36pub_type
杂志文章abstract：AIMS:The purpose of this study was to adapt the IIQ-7 to suit the Egyptian culture and then to assess validity and reliability of the adapted and translated IIQ-7 and UDI-6. METHODS:IIQ-7 was modified to suit Egyptian culture. Linguistic validation of the two questionnaires was done. Initial test-retest reliability an...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.20609
更新日期：2009-01-01 00:00:00
abstract：AIM OF THE STUDY:To estimate the prevalence and 5-year incidence of lower urinary tract symptoms (LUTS) after the first delivery and to evaluate the impact of pregnancy per se and delivery per se on long-lasting symptoms. MATERIALS AND METHODS:A longitudinal cohort study of 305 primiparae questioned a few days, 3 mont...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.2198
更新日期：2002-01-01 00:00:00
abstract：AIMS:We performed receiver operating characteristic (ROC) analysis to determine the ability of sphincter electromyography (EMG) to distinguish multiple system atrophy (MSA) from other parkinsonisms. The following was determined: (1) the appropriate motor unit potential (MUP) parameter among duration, phase, and amplitu...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.22208
更新日期：2012-09-01 00:00:00
abstract：AIMS:We sought to determine whether somatic lumbar nerve transfer to the pelvic nerve's anterior vesical branch after sacral decentralization for detrusor muscle reinnervation also leads to aberrant innervation of the bladder outlet. METHODS:Twenty-six female mongrel hound dogs underwent transection of sacral dorsal a...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.24217
更新日期：2020-01-01 00:00:00
abstract：AIM:Characterize clinical factors related to nocturia and sleep disruption in Parkinson disease (PD) using polysomnography (PSG). METHODS:Sixty-three PD patients were recruited regardless of sleep or voiding complaints from a university-based movement disorders clinic for a 48 hr inpatient PSG protocol. Nocturia frequ...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.22365
更新日期：2013-11-01 00:00:00
abstract：AIMS:Urgency is a key symptom in the diagnosis of overactive bladder (OAB), yet its definition and measurement are subject to continuing debate whether urinary urgency is a pathologic sensation or an intensification of normal desire to pass urine. The objective of this research was to explore the concept of urgency amo...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.21242
更新日期：2012-04-01 00:00:00
abstract：AIMS:We investigated the relative important role of rho kinase (ROK) and protein kinase C (PKC) pathways in carbachol (CCh)-induced Ca(2+) sensitization in α-toxin permeabilized Guinea pig detrusor smooth muscle (DSM) following bladder outlet obstruction (BOO). METHODS:Bladder outlet obstruction was created by placeme...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.21193
更新日期：2012-04-01 00:00:00
abstract：AIMS:To evaluate whether bladder outlet obstruction index (BOOI), a mathematical index of outlet resistance, in association with maximal flow rate (Qmax) obtained during multichannel urodynamics (UDS) or detrusor pressure at maximal flow rate (PdetQmax) could help the identification of obstruction in women. METHODS:Fr...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.20375
更新日期：2007-01-01 00:00:00
abstract：AIMS:We investigated the role of transient receptor potential ankyrin 1 (TRPA1) channel on the single unit mechanosensitive afferent activities (SAAs) primarily originating from the bladder in the rat. METHODS:Female Sprague-Dawley rats were used. Cystometry with continuous saline instillation was performed after intr...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.22449
更新日期：2014-06-01 00:00:00
abstract：:We reviewed bladder contraction evolution after sacral anterior root stimulator implantation in thirty patients operated on from 1984 to 1991. Two patients underwent a complete denervation with a reinnervation within a maximal time of seventeen months. One patient underwent a lesion, like a neuropraxia with a complete...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.1930120514
更新日期：1993-01-01 00:00:00
abstract：:This study was conducted to evaluate whether passive urethral resistance, detrusor internal work, and detrusor external work are independent measures of the voiding process. Passive urethral resistance, detrusor internal work, detrusor external work, and detrusor total work of 5 canines were determined under nonobstru...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/(SICI)1520-6777(1996)15:5<529::AID-NAU9>3.
更新日期：1996-01-01 00:00:00
abstract：:Anticholinergics are commonly used for the treatment of frequency, urgency, and urge incontinence in women. Alpha-blockers have been shown to have a modulating effect on bladder smooth muscle but are not commonly used clinically for this indication. To evaluate the clinical effectiveness of each treatment as well as t...
journal_title：Neurourology and urodynamics
pub_type： 临床试验,杂志文章
doi：10.1002/(sici)1520-6777(1998)17:1<31::aid-nau6>3.0
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:The objective of our study was to investigate the prevalence and risk of developing stress urinary incontinence (SUI) in each type of high-intensity sport, and the associated impact on quality of life in sportswomen. METHODS:This cross-sectional study was conducted between March and November 2016. The study ...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.23538
更新日期：2018-08-01 00:00:00
abstract：AIM:To evaluate the association between lower urinary tract symptoms (LUTS) and incidental falls and fear of falling. METHODS:We used data obtained from the 2011 Korean Community Health Survey (KCHS) conducted between August and October 2011 in South Korea. The survey was carried out to estimate patterns of disease pr...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.23345
更新日期：2018-02-01 00:00:00
abstract：AIMS:Bladder wall stretch increases tissue tension and releases adenosine 5'-triphosphate (ATP) as part of a transduction process to sense bladder filling. Aging is associated with bladder fibrosis to produce a stiffer bladder wall: this may augment ATP release and contribute to age-dependent urgency. Muscarinic agonis...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.24426
更新日期：2020-08-01 00:00:00
abstract：AIMS:Reflex bladder activation and inhibition by electrical stimulation of pudendal nerve (PN) afferents is a promising approach to restore control of bladder function in persons with lower urinary tract dysfunction caused by disease or injury. The objective of this work was to determine whether bladder activation evok...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.22822
更新日期：2016-11-01 00:00:00
abstract：:Nocturia, awaking from sleep to void, has a negative impact on health and well-being. Nocturia affects men and women and is more prevalent among the elderly. More than two nocturnal voids is considered to be a clinically meaningful threshold associated with significant negative outcomes for health and well-being, and ...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章,评审
doi：10.1002/nau.22595
更新日期：2014-04-01 00:00:00
abstract：AIM:To characterise the developmental changes to the normal bladder by examining the in vitro contractile properties of the fetal sheep detrusor smooth muscle bladder at different gestational ages. METHODS:Three groups of normally developing fetal sheep bladders were investigated: (1) 65-70 days gestation (2nd trimest...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.20124
更新日期：2005-01-01 00:00:00
abstract：AIMS:To evaluate the reproducibility of cystometry and pressure flow studies in women. We wanted to explore any clinically relevant effect of repeated, same-session cystometry. METHODS:Thirty healthy women with a mean age of 52 years were investigated with repeat medium-fill water cystometry and pressure-flow micturit...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.10019
更新日期：2002-01-01 00:00:00
abstract：:Intrinsic sphincter deficiency (ISD) is frequently treated with collagen bulking at the bladder neck. The standard material used, Contigen, biodegrades over 3-19 months requiring repeated injections to maintain efficacy. The study objective was to evaluate use of autologous ear chondrocytes for treatment of ISD. Women...
journal_title：Neurourology and urodynamics
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1002/1520-6777(2001)20:2<157::aid-nau18>3.0.co;
更新日期：2001-01-01 00:00:00
abstract：AIMS:The aim of this paper is to stablish de position of the Ibero-American Society of Neurourology and Urogynecology (SINUG) in relation to the use of suburethral meshes for the surgical treatment of female stress incontinence. METHODS:Tension-free mid-urethral slings (MUS) have become the most popular procedure for ...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章,实务指引
doi：10.1002/nau.24178
更新日期：2020-01-01 00:00:00
abstract：AIMS:Estrogen is essential for physiological maintenance of the female urogenital tract. It is believed that alterations in female sex hormones play a major role in the etiology and response to urinary tract dysfunctions. In animal studies, ovariectomy (Ovx) results in smooth muscle (SM) weakness and atrophy whereas es...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.20258
更新日期：2006-01-01 00:00:00
abstract：AIMS:The purpose of this study was to investigate efficacy, safety, and impact on quality of sleep of staggered furosemide and desmopressin in the treatment of nocturia in the elderly. METHODS:Patients aged >60 years with nocturia at least two voids per night were screened for enrollment into the study. A 3-week dose-...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章,随机对照试验
doi：10.1002/nau.20986
更新日期：2011-03-01 00:00:00
abstract：AIM:To determine the optimal degree of pubovaginal slings (PVS) tension, measured by lax sling dimensions to minimize the risk of urinary retention. METHODS:This prospective study analyzed female patients undergoing PVS for stress urinary incontinence (SUI) by two surgeons over 24 months from January 2016. Intra-opera...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.24000
更新日期：2019-06-01 00:00:00
abstract：:In epidemiological surveys of female urinary incontinence, it is not feasible to demonstrate urine loss objectively. The aim of this study was to develop a valid epidemiological instrument (a severity index) for assessing the severity of incontinence. The severity index is based on information about frequency (four le...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/(sici)1520-6777(2000)19:2<137::aid-nau4>3.
更新日期：2000-01-01 00:00:00
abstract：:The International Continence Society (ICS) has sustained a drive to improve the clinical assessment of lower urinary tract function for many years. Increasingly, healthcare professionals (HCPs) engage with the guidance, and patients benefit from the precision that results when their carers apply a sensible and logical...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.23732
更新日期：2018-08-01 00:00:00
abstract：AIMS:The use of electrotherapeutics to improve filling and emptying dysfunction of the adult bladder has been well established, however the practice in children is less well known. The purpose of this review is to summarize the rationale behind the use of electro neuromodulation in children, examine the reported effica...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章,评审
doi：10.1002/nau.10171
更新日期：2004-01-01 00:00:00
abstract：AIM:To evaluate the immediate effect on natural fill urodynamic parameters and bladder function during transcutaneous electrical nerve stimulation (TENS) in children with overactive bladder (OAB) and daytime urinary incontinence (DUI). MEETHODS:In this double-blind, placebo-controlled study, 24 children with severe OA...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章,随机对照试验
doi：10.1002/nau.23179
更新日期：2017-09-01 00:00:00
abstract：AIMS:The aim of this study was to resolve the paradox as to whether magnetic stimulation of sacral nerve roots results in contraction or suppression of the bladder, in both normal individuals and patients with spinal cord injury (SCI). MATERIALS AND METHODS:Seven males with complete SCI and neurogenic detrusor overact...
journal_title：Neurourology and urodynamics
pub_type： 临床试验,杂志文章
doi：10.1002/nau.20009
更新日期：2004-01-01 00:00:00
abstract：AIM:Treatments targeting vanilloid receptor TRPV1 are effective in some bladder disorders. Our aim was to determine the expression profiles of TRPV1 in regions of human bladder and test the hypothesis that there would be an upregulation of TRPV1 in mucosa of patients with bladder hypersensitivity but not idiopathic det...
journal_title：Neurourology and urodynamics
pub_type： 杂志文章
doi：10.1002/nau.20326
更新日期：2007-01-01 00:00:00
