Cutaneous Vesicostomy Revisited - the Second 15 Years

Vastyan, Attila M.; Pintér, Andrew; Farkas, Amy; Vajda, Péter; Somogyi, Ron B.; Juhász, Zsolt

doi:10.1055/s-2005-837609

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…reviewed their experience with Blocksom vesicostomy over the past 15 years including complications. In that study, the reported complications of Blocksom vesicostomy included stenosis (22%), prolapse (6%) and cellulitis (6%) …”

Section: Discussionmentioning

confidence: 96%

“…In that study, the reported complications of Blocksom vesicostomy included stenosis (22%), prolapse (6%) and cellulitis (6%). 6 Regarding cases of chronic urinary retention in elderly patients, the number of patients who cannot be treated successfully with traditional treatments, including transurethral surgery and catheter placement, will increase as a result of the aging of society. Under such circumstances, the use of Blocksom vesicostomy should not be ruled out as a usable treatment option.…”

Section: Discussionmentioning

confidence: 99%

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Usefulness of Blocksom vesicostomy in elderly men with chronic urinary retention and severe dementia

Tobu

Noguchi

Kurata

et al. 2014

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Usefulness of Blocksom vesicostomy in elderly men with chronic urinary retention and severe dementia

Tobu

Noguchi

Kurata

et al. 2014

Geriatrics Gerontology Int

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“…1 In one recent study of children with myelomeningocele undergoing CV, the incidence of urolithiasis was 33% with concurrent pyelonephritis in 11% of patients. 2 These “infection stones” are composed of magnesium ammonium phosphate (struvite) formed by bacterial urease activity.…”

Section: Introductionmentioning

confidence: 97%

Struvite Urolithiasis and Chronic Urinary Tract Infection in a Murine Model of Urinary Diversion

Becknell

Carpenter

Bolon

et al. 2013

Urology

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OBJECTIVES To characterize the clinical course following cutaneous vesicostomy (CV) in megabladder (mgb−/−) mice with functional urinary bladder obstruction. MATERIALS AND METHODS Forty-five mgb−/− males underwent CV at a median age of 25 days. The 34 animals that survived longer than 3 days after CV were evaluated by serial observation and renal ultrasound. Moribund animals were euthanized. Urinary bladders and kidneys were analyzed by histopathology, and urine biochemical studies were performed. RESULTS At a median of 11 weeks after CV, 35% (12/34) of mgb−/− males became moribund with pelvic masses, which were identified as bladder stones at necropsy. Urine pH was alkaline and microscopy demonstrated struvite crystals. Urine contained Gram-positive cocci, while urine cultures were polymicrobial. Stone composition was chiefly struvite (88–94%) admixed with calcium phosphate. In 40% (2/5) of cases, retained intravesical polypropylene suture was identified as the presumed nidus. No stones were detected in over 100 males prior to CV or in 25 cases when CV was performed using polydioxanone suture. Kidneys from 33% (4/12) of animals with bladder stones contained staghorn calculi. Histopathology from animals with struvite stones demonstrated active cystitis, pyelitis, and chronic pyelonephritis. CONCLUSIONS These findings attest to the importance of the nidus in lithogenesis and provide a novel murine model for struvite urolithiasis and chronic infection of the diverted urinary tract.

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“…Hoy en día sigue siendo un tratamiento efectivo, útil y necesario en casos seleccionados, aunque sus indicaciones han disminuido y los tratamientos mínimamente invasivos han ocupado parte de su espacio 2 . Las patologías tratadas son muy diversas, como vejiga neurógena, valvas de uretra posterior (VUP), reflujos vesicoureterales de alto grado o síndrome de Prune-Belly 3 .…”

Section: Introductionunclassified

“…Así, nos enfrentamos con vejigas de poca distensibilidad, bajas capacidades y alta presión de apertura del detrusor. Aunque estos cambios revierten en la mayoría de los pacientes tras el cierre de la derivación, en aquellos en los que la derivación ha permanecido abierta más años, o la enfermedad de base es VUP o vejiga neurógena, encontramos que hasta el 25% de los cierres fracasan 3 .…”

Section: Introductionunclassified