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Titolo:
Management of neurogenic bladder dysfunction with incontinent ileovesicostomy
Autore:
Gudziak, MR; Tiguert, R; Puri, K; Gheiler, EL; Triest, JA;
Indirizzi:
Wayne State Univ, Sch Med, Dept Urol, Detroit, MI 48201 USA Wayne State Univ Detroit MI USA 48201 d, Dept Urol, Detroit, MI 48201 USA
Titolo Testata:
UROLOGY
fascicolo: 6, volume: 54, anno: 1999,
pagine: 1008 - 1011
SICI:
0090-4295(199912)54:6<1008:MONBDW>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINAL-CORD INJURY; URINARY-TRACT DYSFUNCTION; TERM; CATHETERS; FATE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Gudziak, MR Wayne State Univ, Sch Med, Dept Urol, Harper Professional Bldg,4160 John R,Suite 1017, Detroit, MI 48201 USA Wayne State Univ Harper Professional Bldg,4160 John R,Suite 1017 Detroit MI USA 48201
Citazione:
M.R. Gudziak et al., "Management of neurogenic bladder dysfunction with incontinent ileovesicostomy", UROLOGY, 54(6), 1999, pp. 1008-1011

Abstract

Objectives. Incontinent ileovesicostomy is an alternative form of urinary management applied to patients with neurogenic vesical dysfunction who are either unable or unwilling to perform clean intermittent self-catheterization or assisted catheterization. We review our operative results, urodynamicdata, and complications observed in patients who underwent creation of incontinent ileovesicostomy at our institution. Methods. Thirteen patients (mean age 43.2 years) with neurogenic bladder dysfunction underwent an incontinent ileovesicostomy between 1994 and 1998. The etiologies of the neurogenic bladder dysfunction were spinal cord injury in 8 patients, multiple sclerosis in 4 patients, and tuberculous meningitis in 1 patient. The preoperative data, surgical records, urodynamic findings, and postoperative complications were assessed. Results. All patients experienced complications of their pretreatment bladder management. The mean operating room time was 242 minutes (range 170 to 395), including 14 additional procedures in 1 1 patients. The mean estimated blood loss was 403.8 mt (range 50 to 2000). No patient required blood transfusion. There were no intraoperative complications. Only 1 patient required reoperation for stomal revision. One patient had a ureteral stone 2 years after surgery; 1 patient has continued to have urinary tract infections despite a negative workup. The mean follow-up was 23 months (range 6 to 57). The mean bladder leak point pressure through the stoma was 8.2 cm H2O. Conclusions. The incontinent ileovesicostomy is a useful technique in the treatment of patients with neurogenic bladder unable to perform clean intermittent catheterization. It provides patients with a low-pressure urinary conduit that empties readily without an indwelling catheter. (C) 1999, Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 05:24:51