Clinical Aspects of Augmentation Enterocystoplasties

Lunghi, F; Nicita, Giulio; Selli, Cesare; Rizzo, M.

doi:10.1159/000463779

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…A total of 36.3% of these patients had renal failure and 7.8% went on to develop end-stage renal failure requiring dialysis (Table 4). 43,[57][58][59][60][61][62][63] These data show a worse situation compared to patients with urogenital tuberculosis in general. In developed countries, the patients had earlier diagnoses with fewer symptoms and lower incidence of kidney loss, contracted bladder or renal failure.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of urogenital tuberculosis worldwide

2008

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Objectives:To characterize the epidemiology of urogenital tuberculosis worldwide and to compare the features of patients from developing countries to those from developed countries. Methods: A comprehensive search of articles published up to April 2008 using a combination of the terms 'tuberculosis', 'genitourinary', 'renal' and 'urogenital' was performed. Results: Urogenital tuberculosis affects more men than women (2:1), with a mean age of 40.7 years (range 5-90). In 26.9% of cases there is a non-functioning unilateral kidney and in 7.4%, renal failure. Patients from developing countries are more likely to have a delayed diagnosis with a higher frequency of renal failure, unilateral non-functioning kidney, ablative surgery and contracted bladder. Conclusions: Urogenital tuberculosis is a worldwide disease with more destructive behavior in developing countries where urgent strategies for early detection are particularly warranted.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of urogenital tuberculosis worldwide

2008

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“…Patient 1 had 240 ml residual urine and chronic urinary tract infec tion. The spontaneous bowel contractions along with a decrease in urethral pressure during sleep [1] frequently give rise to nocturnal incontinence [6], There is no agreement as to which segment of the bowel should be preferred when performing an enterocystoplasty. The literature is conflicting and does not solve the problem [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…The most common indication for an augmentation enterocystoplasty is a small contracted bladder of different aetiology (i.e. interstitial cystitis, irra diation cystitis, tuberculous cystitis or chemical cystitis) [6][7][8]. Other indications are neurogenic bladder disease with a hyperactive detrusor and no spasticity of the pelvic floor or a reconstruction of a defunctionalised bladder due to an earlier urinary diversion [8].…”

Section: Introductionmentioning

confidence: 99%

Coecocystoplasty: An Evaluation of Operative Results

Holm-Bentzen¹,

Klarskov²,

Opsomer³

et al. 1986

Urol Int

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Coecocystoplasty for substituting or augmenting the bladder is a relatively common operation in the United States, but not in Scandinavia. In order to focus the attention on this voiding-preserving operation we evaluated the late postoperative results of 8 patients. Median follow-up was 5 years. Seven of the patients had symptoms from a contracted bladder and 1 patient with epispadias was undiverted from a ureteroileocutaneostomy. There were some early postoperative complications. Two patients had a revision of the coecocystoplasty, 1 patient ended up with a ureteroileocutaneostomy and 1 patient needed a nephrectomy because of a perirenal abscess. The patient with epispadias later had an artificial urinary sphincter because of persisting incontinence. At follow-up time all patients found that they had a better life than prior to operation since the invalidating symptoms from the contracted bladder had disappeared. One patient with residual urine had chronic urinary tract infection. All patients were continent at daytime, 3 patients had nocturnal incontinence. Urodynamic studies showed no infravesical obstruction and bladder capacity between 75 and 380 ml H₂O. Three patients had decreased renal function. Based on our limited material we conclude that coecocystoplasty is a reasonable, though not unproblematic, treatment in patients with severe symptoms from a small contracted bladder and a therapeutical alternative in patients with a previously defunctionalised bladder and that this method should always be taken into consideration before a urinary diversion.

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“…Among the major causes are chronic recurrent urinary tract infection, interstitial cystitis [1], irradiation sequellae [2], neurogenic bladder dysfunction [3] and bladder exstrophy [4], Surgical management of bladder exstrophy has sub stantially changed in the last 80 years. Early attempts at reconstruction with unsatisfying results [5] subsequently led to primary urinary diversion into the sigmoid colon (ureterosigmoidostomy), which was favored for a long time as the therapy of choice [6].…”

Section: Discussionmentioning

confidence: 99%