Investigation of anal sphincter function following Mainz pouch type II urinary diversion after radical cystectomy

Abstract

A decrease in rectal sphincter function is responsible for incontinence following Mainz pouch type II diversion, and this dysfunction can be correlated with the surgery. Ureterosigmoideostomy is therefore considered as a useful method of urinary diversion only in selected cases with proven good sphincter function.

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

“…42,60,72, 84,85,93,109,115,118,140,161–163,171,172,181,184,186,187,230–232,238, 240,256,260,308,314,320,329,342,344,355 In 13 studies (4.2%) 53, 58,65,108,111,142,143,145,159,316,337,343,351 non-validated questionnaires were used. Anal manometry was used in 126 studies (41.2%) 50,53,55,57,61,65,72,73,77,78,80,82,83, 85,86,91,92,95,96,…”

“…After careful evaluation of full‐text papers 27 studies were excluded: 15 studies 23–37 did not evaluate FI assessment, six manuscripts 38–43 were just protocols, five were paediatric studies, 44–48 and one trial 49 had an inappropriate study design. Finally, 328 studies were included in our review: 306 studies…”

“…In 13 studies (4.2%) 53 , 58 , 65 , 108 , 111 , 142 , 143 , 145 , 159 , 316 , 337 , 343 , 351 non‐validated questionnaires were used. Anal manometry was used in 126 studies (41.2%) 50 , 53 , 55 , 57 , 61 , 65 , 72 , 73 , 77 , 78 , 80 , 82 , 83 , 85 , 86 , 91 , 92 , 95 , 96 , 98 , 103–107 , 109 , 111 , 115 , 122 , 123 , 125 , 127 , 134 , 141 , 142 , 146 , 151–153 , 155 , 162–165 , 167 , 168 , 170 , 174–176 , 178 , 179 , 183 , 191 , 193 , 199–201 , 204 , 206 , 213 , 217 ,…”

A Tuffier-fisztula késői következményeinek műtéti megoldása

“…A huszadik század végére már jelentősen csökkent azon betegek köre, ahol egyáltalán szóba jöhetett ez a megoldás. Szűcs és Keszthelyi közleményéből is tudjuk, hogy a széklet-vizelet-keveredés és a bélben uralkodó magas nyomás mindenképpen fertőzés és károsodás veszélyét jelenti a vesékre (2). Magyarországon az uretero-sigmoidostomia, illetve annak módosítása egészen a kilencvenes évekig a vizeletelterelés alapműtéte maradt, így a széklet-vizelet-keveredés következ-ményeiről, a fertőzésről, az acidózisról és az éjszakai anális inkontinenciáról jelentős klinikai tapasztalat halmozódott fel (1).…”

Egészségügyi technológiák gazdasági elemzése krónikus betegségekben: lehetőségek és kihívások Magyarország számára

“…Since BC contributes to the highest cost per patient from diagnosis to death and is the fifth most expensive cancer to treat; it might be an important goal to estimate the CoI in Hungary in order to provide local data for decisions on resource allocation.According to my best knowledge and review of the database of Hungarian journals (www.matarka.hu), Hungarian data is available regarding neither the HRQoL and CoI of BC patients; nor the cost-effectiveness of the applied therapies. Hungarian authors have published studies dealing with the therapies in BC, however, those were principally associated with diagnostic issues, risk assessment, survival, recurrence; and a few studies evaluated functional outcomesKondás et al, [1996];Samodai et al, [1996];Romics et al, [2006];Keszthelyi et al, [2009];Szűcs et al, [2012]).…”