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Titolo:
Use of polydimethylsiloxane in the endoscopic treatment of urinary incontinence in children with neurogenic bladder.
Autore:
Guys, JM; Louis-Borrione, C; Battagliola, D; le Hors-Albouze, H; Petit, P;
Indirizzi:
Hop Enfants La Timone, Dept Chirurg Pediat, F-13385 Marseille 05, France Hop Enfants La Timone Marseille France 05 , F-13385 Marseille 05, France
Titolo Testata:
ANNALES D UROLOGIE
fascicolo: 5, volume: 33, anno: 1999,
pagine: 351 - 355
SICI:
0003-4401(1999)33:5<351:UOPITE>2.0.ZU;2-K
Fonte:
ISI
Lingua:
FRE
Soggetto:
INTRINSIC SPHINCTER DEFICIENCY; COLLAGEN INJECTION THERAPY; NECK INJECTION; IMPLANTATION;
Keywords:
urinary incontinence; bladder neck injection; dimeticone; neurogenic bladder;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Guys, JM Hop Enfants La Timone, Dept Chirurg Pediat, Bd Jean Moulin, F-13385 Marseille 05, France Hop Enfants La Timone Bd Jean Moulin Marseille France 05 France
Citazione:
J.M. Guys et al., "Use of polydimethylsiloxane in the endoscopic treatment of urinary incontinence in children with neurogenic bladder.", ANN UROL, 33(5), 1999, pp. 351-355

Abstract

Aim : We report the use of polydimethylsiloxane (PDS-Macroplastique(R)) inendoscopic treatment of urinary incontinence in children with neurogenic bladder and try to determine optimal criteria for patient selection. Methods: Forty four children (19 males, 25 females) have been treated since 1995. Aetiology was mainly spina bifida (n = 36). Previous surgery had been performed in 26 patients, including bladder neck reconstruction in 21 cases and bladder augmentation in 15 cases. Mean age at injection was 13 years (7 to 17). Only one injection was performed in 27 patients, two injections in 4 cases, and three and more injections in 3 cases. Mean volume at each injection was 3.6 cc. Mean interval between two injections was 6 months (3-15m). All injections were performed transurethrally. Results: Follow-up ranged from 6 to 41 months (median: 23). Fifteen patients (34 %) are dry (continence > 4 hours, no urinary pad during the day) and 11 (25 %) are improved (continence from 2 to 3 hours, minimal pad). Eighteen patients obtained poor results. In the entire series previous bladder neck surgery or preoperative detrusor hyperactivity did not interfere with the results. The only differenceconcerns the sex-ratio: the good results were mainly seen in females: 44% of girls are cured versus 21 % of boys. Conclusion : Injection of PDS in the bladder neck: achieve the goal of continence in 34 % of the cases in neurogenic bladder. Better results are seen in girls. Injection does not compromise other surgical procedures. The use of PDS seems more suitable than bovine collagen in view of the potential problems of prions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 16:29:05