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Titolo:
The Pippi Salle procedure for neurogenic urinary incontinence in childhood: A three-year experience
Autore:
Jawaheer, G; Rangecroft, L;
Indirizzi:
Royal Victoria Infirm, Dept Paediat Surg, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England Royal Victoria Infirm Newcastle Upon Tyne Tyne & Wear England NE1 4LP and
Titolo Testata:
EUROPEAN JOURNAL OF PEDIATRIC SURGERY
, volume: 9, anno: 1999, supplemento:, 1
pagine: 9 - 11
SICI:
0939-7248(199912)9:<9:TPSPFN>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
BLADDER WALL FLAP; SPHINCTER; TEFLON; TRACT; RECONSTRUCTION; MIGRATION; INJECTION; COLLAGEN;
Keywords:
bladder neck; urethral lengthening; neurogenic; child; urinary incontinence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Jawaheer, G Royal Victoria Infirm, Dept Paediat Surg, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England Royal Victoria Infirm Newcastle Upon Tyne Tyne & Wear England NE1 4LP
Citazione:
G. Jawaheer e L. Rangecroft, "The Pippi Salle procedure for neurogenic urinary incontinence in childhood: A three-year experience", EUR J PED S, 9, 1999, pp. 9-11

Abstract

Aim: A three-year retrospective study was performed to assess the place ofthe Pippi Salle bladder neck repair in the treatment of neurogenic bladderincontinence in both sexes in childhood. Method: All children who underwent the procedure between November 1995 andNovember 1998 were studied retrospectively. There were 18 children: 12 with spina bifida, 5 with sacral agenesis and 1 with an idiopathic neurogenic bladder. There were 11 boys and 7 girls. Their age was 3-14 years (median 7years) and the length of follow-up was 7 months to 3 years (median a years). A midline bladder wall flap was fashioned in all patients. The procedurewas performed alone (n = 5) or in combination with a sigmoid colocystoplasty (n = 9) or a Mitrofanoff catheterisable stoma (n = 2) or both (n = 2). Results: Diurnal continence (3 hours or more) was achieved in 11 of the 18children (61%); a are dry for 2-2.5 hours and 5 are incontinent. Eight of the 18 children (44%) are completely dry during the night, 2 are damp and 8are incontinent. Twelve children (67%) needed oxybutynin to maintain a good result. Complications arose in 5 children (28 %): difficulty with catheterisation (n = 4) and pelvic abscess (n = 1). Seven children (39%) subsequently required further operations: exploration of bladder for urine leak (n =2), reinsertion of dislodged catheter (n = 1), drainage of pelvic abscess (n = 1), bladder neck injection with macroplastique (n = 1)and bladder neckclosure (n = 2). Conclusions: The Pippi Salle bladder neck repair has an undoubted place inthe management of neurogenic urinary incontinence in childhood. However, in our experience, it has a relatively high complication rate and failure rate.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 13:03:01