Lithogenic Properties of Enterocystoplasty

Blyth, Bruce; Ewalt, David H.; Duckett, John W.; Snyder, Howard M.

doi:10.1016/s0022-5347(17)36657-0

Cited by 177 publications

(47 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The formation of urinary tract stones, especially bladder stones, is a complication of cystoplasty and occurs in 0±53% of patients [54,97,103,118]. The stone formation rate in our series was 13% and we attribute this to the need to use CISC in 60% of the neuropathic patients.…”

Section: Stonesmentioning

confidence: 58%

“…Failure of augmentation enterocystoplasty to resolve the underlying lower urinary tract problem was reported in 5±42% of patients [53±57, 81,98] (Table 3) [102,103]. Failure rates are higher with idiopathic detrusor instability, where long-term symptomatic success was reported in as few as 53±58% of patients [48,56], compared with the 92% success reported in neuropathic patients [98].…”

Section: Long-term Complicationsmentioning

confidence: 99%

“…Infection whilst using CISC is harmless in the normal urinary AUGMENTATION CYSTOPLASTY 517 tract, except in the presence of high-grade re¯ux [22,96], and the same is probably true for bowel cystoplasty. Whilst bacteriuria is implicated in stone formation [103] and the development of malignancy [117] it is currently unclear whether its elimination is desirable or possible.…”

Section: Bacteriuriamentioning

confidence: 99%

“…Stones are usually triple phosphate, implying that bacteriuria with urease-producing bacteria (Proteus, Providencia and Klebsiella) may be a causative factor [120]. Other risk factors are the presence of intravesical foreign bodies such as staples or Marlex mesh, mucus [103,118] and hypocitraturia [121]. The lower incidence of stones in gastrocystoplasties [65,66] may be related to the lower quantity of mucus production, the lower urinary pH and the lower incidence of bacteriuria, or simply to insuf®cient numbers and follow-up.…”

Section: Stonesmentioning

confidence: 99%

See 3 more Smart Citations

Augmentation cystoplasty

Greenwell¹,

Venn²,

Mundy³

2001

BJU International

193

137

View full text Add to dashboard Cite

Section: Stonesmentioning

confidence: 58%

Section: Long-term Complicationsmentioning

confidence: 99%

Section: Bacteriuriamentioning

confidence: 99%

Section: Stonesmentioning

confidence: 99%

See 2 more Smart Citations

Augmentation cystoplasty

Greenwell¹,

Venn²,

Mundy³

2001

BJU International

193

137

View full text Add to dashboard Cite

“…Bladder calculi often require operative intervention and are diagnosed in 11 -52% of patients after bladder augmentation (22)(23)(24)(25)(26). Calculi typically form in bladders augmented with ileum and/or colon, when absorbable staples are used, in the setting of incomplete bladder emptying, and in patients with a metabolic predisposition for stone formation (hypocitraturia).…”

Section: Bladder Calculimentioning

confidence: 99%

Long-Term Sequela of Pediatric Bladder Reconstruction

Roth

Keenan

Cain

et al. 2015

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Children with refractory neurogenic bladder (NGB) who have failed maximal medical management are presented with options for bladder reconstruction. It is critical to understand the long-term sequela of bladder augmentation and bladder neck reconstruction to properly counsel families regarding these procedures. Benefits may include preservation of renal function, continence, reduced risk of renal-related mortality and potential improvements in quality of life (QOL). However, these advantages must be balanced with the risks of bladder calculi, perforation, need for additional surgery, acid/base disturbances, vitamin B12 deficiency and malignancy. Therefore, careful patient selection and preoperative counseling are paramount for those undergoing bladder reconstruction which includes intestinal bladder augmentation, as these patients require lifelong vigilant follow-up. IntroductionChildren with neurogenic bladders (NGB) are initially managed with clean intermittent catheterization (CIC) and anticholinergic medications in order to maintain a sizable, continent, and compliant urinary reservoir. Despite early and aggressive intervention, some patients undergo lower urinary tract reconstruction (bladder augmentation, catheterizable channel and/or bladder neck reconstruction) to protect their upper tracts and achieve continence. In a few select patients with favorable urodynamics (UDS) and low outlet resistance, a bladder neck procedure (BNP) can be performed without bladder augmentation to achieve continence. Myelodysplasia, specifically spina bifida (SB), remains the most common etiology of NGB in the pediatric population. Due to medical advances, particularly in the realm of Urology, more SB patients with bladder reconstruction are surviving into adulthood. We review current literature regarding long-term sequela of bladder reconstruction in pediatric patients with neurogenic bladder, with a primary focus on bladder augmentations for refractory NGB secondary to SB.

show abstract

Bladder Augmentation in Children

Dewan¹,

Rao²

2017

Radiology and Follow‐up of Urologic Surgery

View full text Add to dashboard Cite

Lithogenic Properties of Enterocystoplasty

Cited by 177 publications

References 12 publications

Augmentation cystoplasty

Augmentation cystoplasty

Long-Term Sequela of Pediatric Bladder Reconstruction

Bladder Augmentation in Children

Contact Info

Product

Resources

About