Continent catheterizable vesicostomy in an adult population: success at high costs.

Abstract:

AIMS:To evaluate the long term outcome, to review the complication ratio and to analyze predicting factors of catheterizable continent vesicostomy in an adult population. To deduct a proper patient counseling policy. METHODS:We identified all patients that underwent a continent vesicostomy between 1998 and 2008. We did not consider patients that underwent orthotopic bladder reconstruction. Patient satisfaction, urinary leakage, catheterization problems were assessed by chart review or interview. Type of primary surgery, revisions (number and type), renal function and complications were assessed by chart review. RESULTS:Thirty-four patients underwent continent vesicostomy using an ileal segment (Monti or Spiral-Monti/Casale technique) or the appendix (Mitrofanoff). One patient underwent a detrusor wall flap. Twenty-one out of 35 patients underwent concomitant bladder augmentation and 2/35 patients bladder neck closure. Mean age at the time of the procedure was 44 years (range 21-80 years). Mean follow up is 60 months (range 6-117 months). Six out of 35 patients undergo surgical excision of the conduit because of untreatable problems. One patient has a permanent indwelling catheter. Two patients voided normal after sacral nerve stimulation. Ten out of 35 patients undergo stoma related revisions. Sixteen out of 35 patients undergo no stoma related revisions. Finally 26/35 patients were continent and had an easy catheterizable stoma. CONCLUSIONS:Continent urinary diversion in an adult population is associated with a high complication and revision rate. Although conversion rate to an ileal conduit is appreciable, the majority of patients (26/35) finally achieve full continence and unobstructed access to the bladder.

journal_name

Neurourol Urodyn

authors

Van der Aa F,Joniau S,De Baets K,De Ridder D

doi

10.1002/nau.20699

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

487-91

issue

6

eissn

0733-2467

issn

1520-6777

journal_volume

28

pub_type

杂志文章
  • Assessment of prostatic obstruction: A cuff may be enough.

    abstract:AIMS:To investigate the use of an inflatable perile cuff to obstruct flow progressively during voiding in order to provide a noninvasive measure of bladder pressure. METHODS:In this study, we explain the observed relationship of flow rate with applied cuff pressure by analogy with a simple physical model. The model co...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.10059

    authors: Drinnan MJ,Pickard RS,Ramsden PD,Griffiths CJ

    更新日期:2003-01-01 00:00:00

  • Long-term outcome and symptom improvement in patients with interstitial cystitis/bladder pain syndrome with or without regular follow-up and treatment.

    abstract:AIMS:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic disease, which is difficult to treat. Patients usually seek for new therapies and might not follow-up regularly. This study investigated long-term symptom changes in patients with IC/BPS, especially in those who were lost to follow-up. METHODS:We e...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24104

    authors: Yeh HL,Jhang JF,Kuo YC,Kuo HC

    更新日期:2019-09-01 00:00:00

  • A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests.

    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.

    authors: Sandvik H,Seim A,Vanvik A,Hunskaar S

    更新日期:2000-01-01 00:00:00

  • The effects of a strong desire to void on gait for incontinent and continent older community-dwelling women at risk of falls.

    abstract:AIMS:The fall rate in urgency urinary incontinence (UUI) and mixed UI (MUI) older women is higher when compared with that of continent women. One hypothesis is that a strong desire to void (SDV) could alter gait parameters and therefore increase the risk of falls. The aim of this study was to investigate and compare th...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24234

    authors: Paquin MH,Duclos C,Lapierre N,Dubreucq L,Morin M,Meunier J,Rousseau J,Dumoulin C

    更新日期:2020-02-01 00:00:00

  • BPH with coexisting overactive bladder dysfunction--an everyday urological dilemma.

    abstract::The aim of this study was to use a systematic schedule, including urodynamics, to describe the rate of coexisting overactive bladder (OB) in patients with bladder outlet obstruction (BOO) caused by benign prostatic hyperplasia (BPH). We also identified differences between the patients with pure BOO compared with those...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.1001

    authors: Knutson T,Edlund C,Fall M,Dahlstrand C

    更新日期:2001-01-01 00:00:00

  • Contractile properties of the developing fetal sheep bladder.

    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

    authors: Nyirády P,Thiruchelvam N,Godley ML,David A,Cuckow PM,Fry CH

    更新日期:2005-01-01 00:00:00

  • Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women.

    abstract:AIM:To determine the importance and contribution of compliance in a pelvic muscle exercise program as a factor in reducing the severity of urinary stress incontinence amongst Chinese women. METHODS:Two hundred fourteen women presenting with urinary stress incontinence who agreed to undertake a program of pelvic muscle...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章

    doi:10.1002/nau.10110

    authors: Siu LS,Chang AM,Yip SK,Chang AM

    更新日期:2003-01-01 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

  • Quality control of uroflowmetry and urodynamic data from two large multicenter studies of male lower urinary tract symptoms.

    abstract:AIM:The International Continence Society (ICS) has standardized quality control and interpretation of uroflowmetry and urodynamics. We evaluated traces from two large studies of male lower urinary tract symptoms (UPSTREAM and UNBLOCS) against ICS standards of urodynamic equipment and practice. METHODS:Ten percent of u...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24337

    authors: Aiello M,Jelski J,Lewis A,Worthington J,McDonald C,Abrams P,Gammie A,Harding C,Biers S,Hashim H,Lane JA,Drake MJ

    更新日期:2020-04-01 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

  • Test-retest repeatability of patterns of brain activation provoked by bladder filling.

    abstract:OBJECTIVE:To assess short-term repeatability of an fMRI protocol widely used to assess brain control of the bladder. fMRI offers the potential to discern incontinence phenotypes as well as the mechanisms mediating therapeutic response. If so, this could enable more targeted efforts to enhance therapy. Such data, howeve...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23153

    authors: Clarkson BD,Tyagi S,Griffiths DJ,Resnick NM

    更新日期:2017-08-01 00:00:00

  • T- and L-type calcium channels mediate alpha(1)-adrenoceptor-evoked contraction in the guinea-pig vas deferens.

    abstract:AIMS:The importance of the T- and L-type Ca(2+) channels on the alpha(1)-adrenoceptor-mediated contraction of guinea-pig vas deferens was investigated in relation to the SK and BK channels. METHODS:Isometric contractile response to electrical stimulation (ES) of 50 pulses at 40 Hz was recorded. ES responses were modul...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20654

    authors: Shishido T,Sakai S,Tosaka T

    更新日期:2009-01-01 00:00:00

  • Targeting p75 neurotrophin receptors ameliorates spinal cord injury-induced detrusor sphincter dyssynergia in mice.

    abstract:AIMS:To determine the role of p75 neurotrophin receptor (p75NTR ) and the therapeutic effect of the selective small molecule p75NTR modulator, LM11A-31, in spinal cord injury (SCI) induced lower urinary tract dysfunction (LTUD) using a mouse model. METHODS:Adult female T8 -T9 transected mice were gavaged daily with LM...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23722

    authors: Zabbarova IV,Ikeda Y,Carder EJ,Wipf P,Wolf-Johnston AS,Birder LA,Yoshimura N,Getchell SE,Almansoori K,Tyagi P,Fry CH,Drake MJ,Kanai AJ

    更新日期:2018-11-01 00:00:00

  • Effect of severity of urinary incontinence on quality of life in women.

    abstract:AIMS:While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23568

    authors: Krhut J,Gärtner M,Mokris J,Horcicka L,Svabik K,Zachoval R,Martan A,Zvara P

    更新日期:2018-08-01 00:00:00

  • Anal incontinence: prevalence among female patients attending a urogynecologic clinic.

    abstract::The present study prospectively surveyed the prevalence of anal incontinence among 283 consecutive female patients attending a urogynecologic outpatient clinic in a maternity hospital. Data concerning bowel habits, laxative use, previous anorectal surgery, and the presence, severity, and frequency of anal incontinence...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1999)18:3<199::aid-nau6>3.

    authors: Gordon D,Groutz A,Goldman G,Avni A,Wolf Y,Lessing JB,David MP

    更新日期:1999-01-01 00:00:00

  • External validation of a model predicting de novo stress urinary incontinence after pelvic organ prolapse surgery.

    abstract:AIMS:De novo stress urinary incontinence (SUI) may develop after surgical correction of advanced pelvic organ prolapse (POP) in otherwise continent women. Prediction of which women with POP will develop SUI after the prolapse is corrected is difficult. We aimed to externally validate a previously described prediction m...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24608

    authors: Yasa C,Gungor Ugurlucan F,Dural O,Yalcın O

    更新日期:2021-01-25 00:00:00

  • Investigating the associations of mucosal P2Y6 receptor expression and urinary ATP and ADP concentrations, with symptoms of overactive bladder.

    abstract:AIM:To characterize purinergic signaling in overactive bladder (OAB). METHODS:Mucosal biopsies were taken by flexible cystoscopy from patients with storage symptoms referred to Urology Departments of collaborating hospitals. Immunohistochemistry (n = 12) and Western blot analysis (n = 28) were used to establish the qu...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24322

    authors: Firouzmand S,Ajori L,Towse J,Allameh F,Najafi S,Javed S,John B,Langley SEM,Fry CH,Young JS

    更新日期:2020-03-01 00:00:00

  • A rat model for investigation of bladder dysfunction associated with demyelinating disease resembling multiple sclerosis.

    abstract::Myelin basic protein (MBP) can be used as an antigen for inducing experimental allergic encephalomyelitis (EAE). In various studies, EAE animals have been used as an experimental model of demyelinating diseases. The aim of this study was to determine whether EAE, induced by MBP in rats, can be useful for investigation...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/1520-6777(2000)19:6<689::aid-nau7>3.0.co;2

    authors: Mizusawa H,Igawa Y,Nishizawa O,Ichikawa M,Ito M,Andersson KE

    更新日期:2000-01-01 00:00:00

  • How to toilet train healthy children? A review of the literature.

    abstract:AIMS:To review the literature on toilet training (TT) in healthy children. METHODS:Through an extended literature search, all data on developmental signs of readiness for TT, TT methods, definitions of being toilet trained, TT problems, and predictive factors for success were reviewed. RESULTS:Specific studies on thi...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.20490

    authors: Vermandel A,Van Kampen M,Van Gorp C,Wyndaele JJ

    更新日期:2008-01-01 00:00:00

  • Treatment of intrinsic sphincter deficiency using autologous ear chondrocytes as a bulking agent.

    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;

    authors: Bent AE,Tutrone RT,McLennan MT,Lloyd LK,Kennelly MJ,Badlani G

    更新日期:2001-01-01 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

  • Factors associated with overactive bladder symptom improvement after 1 year of monthly percutaneous tibial nerve stimulation therapy.

    abstract:AIMS:To investigate patient characteristics associated with overactive bladder (OAB) symptom improvement after 1 year of monthly percutaneous tibial nerve stimulation (PTNS) therapy. METHODS:This was a retrospective chart review of women who underwent PTNS for refractory OAB symptoms between January 2011 and December ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24038

    authors: Pincus J,Rostaminia G,Chang C,Gafni-Kane A,Goldberg RP

    更新日期:2019-08-01 00:00:00

  • Arabic validation of the Urogenital Distress Inventory and Adapted Incontinence Impact Questionnaires--short forms.

    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

    authors: El-Azab AS,Mascha EJ

    更新日期:2009-01-01 00:00:00

  • Are patient symptoms predictive of the diagnostic and/or therapeutic value of hydrodistention?

    abstract:INTRODUCTION:Hydrodistention (HD) has been utilized as a diagnostic and therapeutic tool in patients with refractory and diverse pelvic floor symptoms, including bladder pain with or without irritative bladder symptoms such as urinary urgency and urinary frequency. We sought to determine whether we could better define ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20200

    authors: Cole EE,Scarpero HM,Dmochowski RR

    更新日期:2005-01-01 00:00:00

  • Urinary dysfunction in patients with systemic lupus erythematosis.

    abstract:AIMS:Nervous system involvement occurs in about half of patients with systemic lupus erythematosis (SLE). Seizures and psychiatric disorders are the most common manifestations; spinal cord lesions are uncommon. We had eight such patients who presented with urinary dysfunction. METHODS:The patients consisted of two men...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章

    doi:10.1002/nau.10126

    authors: Sakakibara R,Uchiyama T,Yoshiyama M,Yamanishi T,Hattori T

    更新日期:2003-01-01 00:00:00

  • A new minimally invasive procedure for pudendal nerve stimulation to treat neurogenic bladder: description of the method and preliminary data.

    abstract:AIMS:Pudendal nerve stimulation has beneficial effects on numerous pelvic floor function impairments such as urinary and/or fecal incontinence, retention, and constipation. In preceding literature the implant technique required a fairly complex and invasive surgery, although recent advances with percutaneous placement ...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章

    doi:10.1002/nau.20118

    authors: Spinelli M,Malaguti S,Giardiello G,Lazzeri M,Tarantola J,Van Den Hombergh U

    更新日期:2005-01-01 00:00:00

  • Estrogen induced functional hypertrophy and increased force generation of the female rabbit bladder.

    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

    authors: Lin AD,Levin R,Kogan B,Whitbeck C,Chichester P,Sokol R,Mannikarottu A

    更新日期:2006-01-01 00:00:00

  • Chronic pudendal neuromodulation: expanding available treatment options for refractory urologic symptoms.

    abstract:AIMS:Chronic pudendal nerve stimulation (CPNS) is a logical alternative particularly in those who fail sacral stimulation. We evaluated symptoms, complications, and satisfaction after CPNS. METHODS:We retrospectively reviewed patients having a tined lead placed at the pudendal nerve via the ischial-rectal approach. De...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20823

    authors: Peters KM,Killinger KA,Boguslawski BM,Boura JA

    更新日期:2010-09-01 00:00:00

  • Posttraumatic stress disorder in interstitial cystitis/bladder pain syndrome: Relationship to patient phenotype and clinical practice implications.

    abstract:PURPOSE:The relationship between exposure to abuse and interstitial cystitis/bladder pain syndrome (IC/BPS) is well-documented. However, studies have yet to examine posttraumatic stress disorder (PTSD), which develops following exposure to trauma and worsens health outcomes in chronic pain. We aimed to assess the preva...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23861

    authors: McKernan LC,Johnson BN,Reynolds WS,Williams DA,Cheavens JS,Dmochowski RR,Crofford LJ

    更新日期:2019-01-01 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