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Titolo:
The Pippi Salle urethral lengthening procedure; experience and outcome from three United Kingdom centres
Autore:
Hayes, MC; Bulusu, A; Terry, T; Mouriquand, PDE; Malone, PS;
Indirizzi:
Southampton Gen Hosp, Dept Paediat Urol, Southampton SO16 6YD, Hants, England Southampton Gen Hosp Southampton Hants England SO16 6YD D, Hants, England Great Ormond St Hosp, Dept Paediat Urol, London, England Great Ormond St Hosp London England Dept Paediat Urol, London, England Leicester Gen Hosp, Dept Paediat Urol, Leicester LE5 4PW, Leics, England Leicester Gen Hosp Leicester Leics England LE5 4PW E5 4PW, Leics, England Hop Debrousse, Lyon, France Hop Debrousse Lyon FranceHop Debrousse, Lyon, France
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 84, anno: 1999,
pagine: 701 - 705
SICI:
1464-4096(199910)84:6<701:TPSULP>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTIFICIAL URINARY SPHINCTER; PEDIATRIC POPULATION; NEUROGENIC BLADDER; INCONTINENCE; CHILDREN; REIMPLANTATION; INJECTION; COLLAGEN;
Keywords:
neuropathic bladder; urethral lengthening; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Hayes, MC Southampton Gen Hosp, Dept Paediat Urol, Southampton SO16 6YD, Hants, England Southampton Gen Hosp Southampton Hants England SO16 6YD England
Citazione:
M.C. Hayes et al., "The Pippi Salle urethral lengthening procedure; experience and outcome from three United Kingdom centres", BJU INT, 84(6), 1999, pp. 701-705

Abstract

Objective To assess the outcome of the Pippi Salle (Kropp onlay) urethral lengthening procedure in the treatment of neuropathic urinary incontinence. Patients and methods Twenty-eight patients (12 males and 16 females, mean age at surgery 12.6 years, range 7-32) were identified who underwent the procedure between 1993 and 1997 in the United Kingdom. Outcomes were assessedby a review of the case notes. Results Of the 28 patients, 18 (64%) were rendered continent by day, and 17 (61%) by day and night. Twelve of the 16 females were completely dry, anda further girl was dry by day, giving overall daytime continence in 13 patients; five males were rendered continent (P=0.03, chi-square test). Four patients required revision surgery; in five patients (two females and three males) the method was abandoned and they underwent an alternative procedure, and a further four are being reassessed. Conclusion The Pippi Salle procedure should be considered as a first-line treatment option for neuropathic incontinence in females. Its place in the management of incontinent males is less convincing.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 09:51:37