Transvaginal neobladder vaginal fistula repair after radical cystectomy with orthotopic urinary diversion in women.

Abstract:

AIM:We present the surgical management and outcomes of patients who underwent transvaginal neo-bladder vaginal fistula (NBVF) repair at our institution. METHODS:Between 2002 and 2012, eight patients underwent transvaginal NBVF repair. The surgical management entailed placing a Foley catheter into the fistula tract. A circumferential incision was made around the fistula tract after which a plane between the serosa of the neobladder and the vaginal epithelium was created. Interrupted polyglycolic acid sutures were used to close the fistula. An additional layer of vaginal wall, Martius, or omental flap was interposed before vaginal wall closure. A urethral catheter was placed for a minimum of 14 days and removed after a negative cystogram and pelvic exam with retrograde neobladder filling without leakage. RESULTS:All patients presented with a fistula following radical cystectomy with orthotopic ileal neobladder. Two patients had failed two prior transvaginal fistula repairs. A unilateral Martius flap was used in five patients and an omental flap was used in one patient. The surgery was successful in all patients. After a mean follow up of 33 months [4-117], five patients underwent or are waiting to undergo management of stress urinary incontinence with bulking agents. No patient had a recurrent fistula. CONCLUSIONS:Management of NBVF is challenging but cure is possible using a transvaginal approach. Most patients will suffer from incontinence after the repair because of a short and incompetent urethra. Patients should be counseled about the high probability of requiring a secondary procedure to achieve continence.

journal_name

Neurourol Urodyn

authors

Carmel ME,Goldman HB,Moore CK,Rackley RR,Vasavada SP

doi

10.1002/nau.22687

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

90-4

issue

1

eissn

0733-2467

issn

1520-6777

journal_volume

35

pub_type

杂志文章
  • Characterization of voiding function and structural bladder changes in a rat model of neurogenic underactive bladder disease.

    abstract:OBJECTIVES:To create an animal model for neurogenic underactive bladder disease (UAB) and identify markers to describe secondary myogenic changes in the bladder wall. MATERIALS AND METHODS:Male rats underwent either bilateral pelvic nerve injury or sham surgery. Four weeks after surgery functional evaluation was perfo...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23517

    authors: Weyne E,Dewulf K,Deruyer Y,Rietjens R,Everaerts W,Bivalacqua TJ,De Ridder D,Van der Aa F,Albersen M

    更新日期:2018-06-01 00:00:00

  • Detrusor internal and external work in relation to passive urethral resistance in a canine model of the lower urinary tract.

    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.

    authors: Lecamwasam HS,Sullivan MP,Cravalho EG,Yalla SV

    更新日期:1996-01-01 00:00:00

  • Pelviureteral inhibitory reflex and ureteropelvic excitatory reflex: role of the two reflexes in regulation of urine flow from the renal pelvis to the ureter.

    abstract::The mechanism by which the ureteropelvic junction (UPJ) regulates the passage of urine from the renal pelvis to the ureter, and prevents urinary backflow from the the ureter to the renal pelvis, is not completely understood. The current communication studies this mechanism in 18 dogs. With the dogs under anesthesia, n...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1997)16:4<315::aid-nau7>3.

    authors: Shafik A

    更新日期:1997-01-01 00:00:00

  • Sophisticated models and methods for studying neurogenic bladder dysfunction.

    abstract:AIM:To describe how the use of new and established animal models and methods can generate vital and far reaching experimental data in the study of mechanism underlying neurogenic bladder overactivity. METHODS:Bladder and colonic irradiated mice and those with upper and lower motor neuron lesions were used to study neu...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.21120

    authors: Kanai A,Zabbarova I,Ikeda Y,Yoshimura N,Birder L,Hanna-Mitchell A,de Groat W

    更新日期:2011-06-01 00:00:00

  • Lessons learned: impact of a continence promotion activity for older community-dwelling women.

    abstract:AIMS:Few studies have documented the effectiveness of continence promotion programs targeting older incontinent women. We sought to evaluate the impact of an interactive continence workshop on changing participants' attitudes, knowledge and skills in relation to self-managing or seeking care for incontinence. METHODS:...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20800

    authors: Tannenbaum C,Drali R,Holroyd-Leduc J,Richard L

    更新日期:2010-04-01 00:00:00

  • Detection of neurogenic detrusor contractions from the activity of the external anal sphincter in cat and human.

    abstract:AIMS:Individuals with spinal cord injury or neurological disorders may develop bladder contractions at low volumes (neurogenic detrusor overactivity), which can lead to significant health problems. Present devices can inhibit unwanted contractions through continuous electrical stimulation of sensory nerves, but do not ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20204

    authors: Wenzel BJ,Boggs JW,Gustafson KJ,Creasey GH,Grill WM

    更新日期:2006-01-01 00:00:00

  • Anatomical insights into sacrocolpopexy for multicompartment pelvic organ prolapse.

    abstract:AIMS:Pelvic organ prolapse occurs in 50% of parous women. Laparoscopic sacrocolpopexy (LSCP) is a common surgical procedure for restoring pelvic anatomy and function. The aim of this study is to evaluate surgical anatomy and anatomical modifications induced by standardized LSCP. METHODS:Ten fresh female cadavers under...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22806

    authors: Ercoli A,Campagna G,Delmas V,Ferrari S,Morciano A,Scambia G,Cervigni M

    更新日期:2016-09-01 00:00:00

  • The risk of lower urinary tract symptoms five years after the first delivery.

    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

    authors: Viktrup L

    更新日期:2002-01-01 00:00:00

  • The relationship among flow index, uroflowmetry curve shape, and EMG lag time in children.

    abstract:PURPOSE:To determine the relationship among flow index (FI), uroflowmetry curve shape, and electromyography (EMG) lag time in children. MATERIALS AND METHODS:A total of 294 children with lower urinary tract symptoms were included. The overall relationship between lag time and FI was investigated with curve estimation ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24349

    authors: Ha JS,Lee YS,Han SW,Kim SW

    更新日期:2020-06-01 00:00:00

  • Personal goals and expectations of OAB patients in the UK.

    abstract:INTRODUCTION:In clinical practice and in research patient-centred outcomes are often utilised to help improve communication between patients and clinicians and to help manage expectations from treatment. However, many of these goals are generic and do not adequately capture the details of day to day life that bother pa...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/nau.23094

    authors: Rantell A,Cardozo L,Khullar V

    更新日期:2017-04-01 00:00:00

  • Can we define and characterize the aging lower urinary tract?-ICI-RS 2015.

    abstract::The prevalence of lower urinary tract (LUT) symptoms increases with age but the etiology is unknown. This article aims to identify research directions that clarify the basis of this association. The initial question is whether biological age is the variable of interest or a time-dependent accumulation of factors that ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.23035

    authors: Vahabi B,Wagg AS,Rosier PFWM,Rademakers KLJ,Denys MA,Pontari M,Lovick T,Valentini FA,Nelson PP,Andersson KE,Fry CH

    更新日期:2017-04-01 00:00:00

  • Do women have realistic expectations of treatment for stress urinary incontinence?

    abstract:AIMS:Our objective was to determine what women find acceptable regarding treatment and outcomes for treatment of stress urinary incontinence (SUI), and correlate this to age, distress and quality of life (QOL). MATERIALS AND METHODS:This prospective cross-sectional IRB-approved study evaluated women with primary SUI. ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20570

    authors: Langford CF,Elmissiry MM,Ghoniem GM

    更新日期:2008-01-01 00:00:00

  • Pelvic floor muscle activation in stress urinary incontinent women: Impact of a distraction task.

    abstract:AIMS:Our purpose was to explore the involvement of cognition in voluntary and involuntary pelvic floor muscle (PFM) contraction in stress urinary incontinent women. METHODS:PFM contraction monitored by surface electromyography (EMG) was measured without a mental distraction task (DT), and with a DT called "paced audit...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章

    doi:10.1002/nau.23936

    authors: Dewaele P,Deffieux X,Villot A,Amarenco G,Billecocq S,Thubert T

    更新日期:2019-03-01 00:00:00

  • A cross-sectional study of ultrasound estimated bladder weight in a sample of men and women without lower urinary tract symptoms.

    abstract:AIMS:A non-invasive ultrasound method of estimating bladder weight (UEBW) has been proposed as diagnostic for outflow tract obstruction and detrusor overactivity in men and women. There are no data on asymptomatic men and women. This study aimed to examine the relationship between UEBW, age, height, body mass index (BM...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20757

    authors: Morris V,Steventon N,Hazbun S,Wagg A

    更新日期:2009-01-01 00:00:00

  • Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies.

    abstract::This is the first report of the International Continence Society (ICS) on the development of comprehensive guidelines for Good Urodynamic Practice for the measurement, quality control, and documentation of urodynamic investigations in both clinical and research environments. This report focuses on the most common urod...

    journal_title:Neurourology and urodynamics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1002/nau.10066

    authors: Schäfer W,Abrams P,Liao L,Mattiasson A,Pesce F,Spangberg A,Sterling AM,Zinner NR,van Kerrebroeck P,International Continence Society.

    更新日期:2002-01-01 00:00:00

  • Clinical and neurophysiologic testing of the penilo-cavernosus reflex.

    abstract:AIMS:Both clinical and neurophysiologic testing of the penilo-cavernosus reflex is used in clinical practice. The aim of the present study was to determine the as yet unestablished potential contribution of sacral reflex testing to the diagnostic evaluation of patients with suspected neuropathic sacral lesions. METHOD...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20520

    authors: Podnar S

    更新日期:2008-01-01 00:00:00

  • Randomized controlled trial comparing two procedures for anterior vaginal wall prolapse.

    abstract:OBJECTIVE:To compare success rates between anterior colporrhaphy and abdominal paravaginal defect repair for treatment of anterior vaginal wall prolapse. METHODS:This was a prospective randomized controlled trial comparing anterior colporrhaphy plus polyglactin 910 mesh (vaginal) to paravaginal defect repair (abdomina...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.22396

    authors: Minassian VA,Parekh M,Poplawsky D,Gorman J,Litzy L

    更新日期:2014-01-01 00:00:00

  • Clinical efficacy and safety of mirabegron and imidafenacin in women with overactive bladder: A randomized crossover study (the MICRO study).

    abstract:AIMS:We aimed to compare the efficacy and safety of mirabegron, a β3-adrenoceptor agonist, and imidafenacin, an anticholinergic agent, in overactive bladder patients. METHODS:We conducted a multicenter, prospective randomized cross-over study at 5 hospitals in Japan from December 2012 to June 2015. We enrolled female ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/nau.23050

    authors: Torimoto K,Matsushita C,Yamada A,Goto D,Matsumoto Y,Hosokawa Y,Miyake M,Aoki K,Hirayama A,Tanaka N,Fujimoto K

    更新日期:2017-04-01 00:00:00

  • Long-term treatment of older patients with overactive bladder using a combination of mirabegron and solifenacin: a prespecified analysis from the randomized, phase III SYNERGY II study.

    abstract:AIMS:SYNERGY II was a 12-month phase III trial in patients with overactive bladder (OAB) symptoms that investigated the safety and efficacy of the combination of mirabegron and solifenacin in comparison with each monotherapy. This analysis evaluated the trial findings using four age subgroups (<65, ≥65, <75, and ≥75 ye...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.23919

    authors: Mueller ER,van Maanen R,Chapple C,Abrams P,Herschorn S,Robinson D,Stoelzel M,Yoon SJ,Al-Shukri S,Rechberger T,Gratzke C

    更新日期:2019-02-01 00:00:00

  • Spontaneous voiding is surprisingly recoverable via outlet procedure in men with underactive bladder and documented detrusor underactivity on urodynamics.

    abstract:AIMS:To identify clinical and urodynamic factors leading to spontaneous voiding in men with detrusor underactivity (DU) and suspected bladder outlet obstruction who underwent an outlet de-obstruction procedure. METHODS:We identified 614 men who underwent an outlet procedure at our institution from 2005 to 2014. Men we...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24122

    authors: Dobberfuhl AD,Chen A,Alkaram AF,De EJB

    更新日期:2019-11-01 00:00:00

  • Development of novel and non-invasive diagnostic markers for lower urinary tract symptoms using urothelial cells in voided urine.

    abstract:OBJECTIVES:We evaluated the association between lower urinary tract symptoms (LUTS) and the expression of connexin (Cx) and transient receptor potential (TRP) channel on urothelial cells non-invasively collected from voided urine in humans. METHODS:A total of 55 patients (36 males and 19 females, median age: 71 years ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23436

    authors: Shimura H,Mitsui T,Tsuchiya S,Miyamoto T,Ihara T,Kira S,Nakagomi H,Sawada N,Imai Y,Mochizuki T,Takeda M

    更新日期:2018-03-01 00:00:00

  • What if there were no tapes?

    abstract::It is possible that the controversy involving prostheses implanted into women with pelvic floor problems might result in the majority of, or even all such products being restricted, banned or withdrawn in certain jurisdictions. A clear distinction between "tapes" for urinary incontinence and "mesh" for prolapse has be...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23741

    authors: Haylen BT,Lee JKS,Sivagnanam V,Cross A

    更新日期:2018-08-01 00:00:00

  • Is a 10-minute surgical scrub necessary in urologic prosthetic surgery? A randomized study of the effect of a 5- vs 10-minute surgical scrub on bacterial colony counts in the genital skin.

    abstract:AIMS:To determine the antiseptic efficacy on bacterial colony counts of a 5- vs 10-minute surgical site scrub in urologic surgery. METHODS:A prospective cohort study was conducted in 101 patients presenting for elective urological procedures. Patients were randomized to a 5- or 10-minute groin scrub with Betadine (pov...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.23945

    authors: Malalasekera A,Louie-Johnsun M,Wang A,van Diepen DC,Gottlieb T,Chan L

    更新日期:2019-03-01 00:00:00

  • New technology assessment and current and upcoming therapies for underactive bladder.

    abstract:BACKGROUND AND AIMS:Stakeholders from around the world came together to address the unmet needs of underactive bladder (UAB) at the 3rd International Congress for Underactive Bladder. METHODS:The main recommendation from the regulatory working group is a need for a meeting of UAB stakeholders and regulatory agencies i...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23738

    authors: Chancellor MB,Bartolone SN,DeVries EM,Diokno AC,Gibbons M,Jankowski R,Lamb LE,Pruchnic R,Thor K,Dmochowski R

    更新日期:2018-11-01 00:00:00

  • Treatment validation of the Solomon-Greenwell nomogram for female bladder outlet obstruction.

    abstract:AIM:Bladder outflow in women (bladder outlet obstruction [BOO]) has no well-accepted defining diagnostic criteria. Various nomograms exist based on flow rates, pressure-flow data, and fluoroscopy. We have prospectively evaluated the Solomon-Greenwell bladder outflow obstruction nomogram (SG BOO nomogram) as a measureme...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24347

    authors: Lindsay J,Solomon E,Nadeem M,Pakzad M,Hamid R,Ockrim J,Greenwell T

    更新日期:2020-06-01 00:00:00

  • Randomized comparison of tolterodine with vaginal estrogen cream versus tolterodine alone for the treatment of postmenopausal women with overactive bladder syndrome.

    abstract:AIMS:To investigate whether vaginal estrogen cream combined with tolterodine is more effective than tolterodine alone in the treatment of postmenopausal women with overactive bladder (OAB). MATERIALS AND METHODS:This is an unblinded study without placebo. A preliminary study consisted of tolterodine 2 mg twice per day...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.20583

    authors: Tseng LH,Wang AC,Chang YL,Soong YK,Lloyd LK,Ko YJ

    更新日期:2009-01-01 00:00:00

  • A prospective randomized double-blind trial of grape juice antioxidants in men with lower urinary tract symptoms.

    abstract:AIMS:Many patients take alternative medications for their lower urinary tract symptoms (LUTS) either in addition or as a substitute for traditional therapies, despite a lack of clinical data. Grapes products are hypothesized to improve bladder function due to their antioxidant and membrane-protective actions. There is ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.22289

    authors: Spettel S,Chughtai B,Feustel P,Kaufman A,Levin RM,De E

    更新日期:2013-03-01 00:00:00

  • The relationship between pelvic organ prolapse, genital body image, and sexual health.

    abstract:AIMS:Pelvic organ prolapse involves physical changes to the genitals, potentially distressing to women. We hypothesized poorer genital body image in prolapsed women versus controls and that genital body image would correlate with sexual health. METHODS:Seventy-four sexually active women, 13 with prolapse, 24 with surg...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22205

    authors: Zielinski R,Miller J,Low LK,Sampselle C,DeLancey JO

    更新日期:2012-09-01 00:00:00

  • Animal models and their use in understanding lower urinary tract dysfunction.

    abstract::This review will highlight appropriate animal models for the study of a number of disorders involving changes to lower urinary tract function. A major hurdle to the development of animal models for human lower urinary tract disorders is that the clinical pathophysiology of the latter mostly remain idiopathic. Acute in...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.20903

    authors: Fry CH,Daneshgari F,Thor K,Drake M,Eccles R,Kanai AJ,Birder LA

    更新日期:2010-04-01 00:00:00

  • Effect of a 5-HT2c receptor agonist on urethral closure mechanism in healthy women.

    abstract:AIMS:To evaluate the effect of ASP2205, a selective serotonin 5-HT2c receptor agonist, and Duloxetine on the urethral pressure in healthy female subjects. METHODS:Healthy females aged 18 to 55 years were recruited for this phase 1, single site, placebo-controlled, randomized, four-period, cross-over study. The interve...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.24045

    authors: Klarskov N,Van Till O,Sawyer W,Cernus D,Sawyer W

    更新日期:2019-08-01 00:00:00