Long-Term Enterocystoplasty Follow-Up: Metabolic and Neoplastic Concerns

Avallone, Michael; Prince, Morgan K.; Guralnick, Michael L.; O'Connor, R Corey

doi:10.1007/s11884-014-0266-3

Cited by 4 publications

(5 citation statements)

References 59 publications

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“…Augmentation cystoplasty (AC) forms part of the treatment algorithm for neurogenic and non‐neurogenic bladder conditions. With the growing number and use of anti‐cholinergic/β‐agonist agents, increasing application of intravesical botulinum toxin and the novel use of sacral neuromodulation, there has been a 25–38% reduction in the rate of AC performed on both sides of the Atlantic 1–3 . This trend is also reflected in national Australian data (see Fig.…”

Section: Introductionmentioning

confidence: 81%

“…Augmentation cystoplasty is an independent risk factor for bladder malignancy 1,34 (most commonly adenocarcinoma 35 ). Augmentation with ileum or colon appears to carry a similar risk, but gastrocystoplasty elevates this risk further 36 .…”

Section: Discussionmentioning

confidence: 99%

“…Recommendations for routine surveillance of asymptomatic patients have not been universally adopted due to this long‐latency period and low risk. However, cystoscopy with or without biopsy is mandated in symptomatic patients (haematuria, suprapubic pain and recurrent or unexplained UTIs) 1 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complication profile of augmentation cystoplasty in contemporary paediatric urology: a 20‐year review

Taghavi

O'Hagan

Bortagaray

et al. 2021

ANZ Journal of Surgery

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Background The aim of this study was to describe the complication profile of augmentation cystoplasty in contemporary paediatric urology as well as its effect on bladder metrics. Methods Consecutive operative cases were retrospectively reviewed at a single institution over 20 years (1999–2019). Short‐ and long‐term outcomes and complications following augmentation cystoplasty were defined. Results Of the 71 operative cases; the most common underlying diagnoses were neurogenic bladder (34%), exstrophy‐epispadias complex (30%) and posterior urethral valves (23%). The most common tissue‐type utilized was ileal (58%) and ureteric (30%). Peri‐operative urine leak affected nine (13%) children but reservoir perforations were less common (4%). Mean end‐of‐study detrusor pressure improved significantly following bladder augmentation (38–17 cmH2O, P < 0.001). Bladder capacity improved significantly (67–89%, P = 0.041). The median follow‐up was 4.5 years (interquartile range: 1.9–10 years). Bladder urolithiasis affected 13 (18%) patients, and symptomatic urinary tract infections 36 (51%) patients. Formation of a continent catheterisable channel contributed a number of complications relating predominantly to stenosis (50%). Repeat augmentation cystoplasty was necessary in three (4%) cases. Conclusion Augmentation cystoplasty is a surgical intervention that improves bladder metrics. Given the potential complications, careful patient selection and appropriate pre‐operative counselling are essential. Furthermore, pro‐active post‐operative management and transitional care are vital in the surgical care of children following augmentation cystoplasty.

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Section: Introductionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Complication profile of augmentation cystoplasty in contemporary paediatric urology: a 20‐year review

Taghavi

O'Hagan

Bortagaray

et al. 2021

ANZ Journal of Surgery

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“…Para ello es necesario valorar factores como la distancia focal, la densidad del cálculo y el tamaño. Estos tres factores descritos por Tran et al (29) como triple D score son inversamente proporcionales a la fragmentación del cálculo.…”

Section: Resultsunclassified

Untitled

2018

Actual. Med.

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Actualidad Médica incluída en Latindex , Índices CSIC y Google Scholar Publicación cuatrimestral (3 números al año) © 2018. Actualidad Médica Reservados todos los derechos. El contenido de la presente publicación no puede ser reproducido, ni transmitido por ningún procedimiento electrónico o mecánico, incluyendo fotocopia, grabación magnética, ni registrado por ningún sistema de recuperación de información, en ninguna forma, ni por ningún medio, sin la previa autorización por escrito del titular de los derechos de explotación de la misma. Actualidad Médica, a los efectos previstos en el artículo 32.1 párrafo segundo del vigente TRLPI, se opone de forma expresa al uso parcial o total de las páginas de Actualidad Médica con el propósito de elaborar resúmenes de prensa con fines comerciales. Cualquier forma de reproducción, distribución, comunicación pública o transformación de esta obra sólo puede ser realizada con la autorización de sus titulares, salvo excepción prevista por la ley.

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“…Finalmente se ha reportado que el 4% de los casos de neoplasias de vejiga, ocurren en pacientes que han sido sometidos a cirugías de aumento vesical. Por esto hay consenso en realizar pesquisa cistoscópica bianual una vez transcurridos diez años desde la cirugía, y una búsqueda precoz de cáncer vesical en caso de presentar hematuria o ITU crónica (29).…”

Section: F) Problemas Secundarios a Cirugías De Aumento Vesicalunclassified

Importance of the urinary system evaluation in adult patients with spina bifida

Alarcón-Arias¹,

Pardo-Vargas²,

Passalacqua³

et al. 2018

Actual. Med.

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Importancia de la evaluación del sistema urinario en pacientes adultos con espina bífida Resumen Los pacientes con espina bífida pueden presentar defectos multisistémicos siendo el sistema urinario uno de los principales en afectarse. En las últimas décadas ha aumentado la población de pacientes adultos con espina bífida debido a la mejora en la sobrevida desde la edad pediátrica, por lo que surge la necesidad de conocer el manejo de estos pacientes tanto por el equipo de salud tratante de adultos, como por ellos mismos y sus cuidadores. Esta revisión ha sido elaborada con bibliografía de la base de datos PubMed desde 1977 a 2018 usando términos MeSH "spina bífida" y "urinary", además de la experiencia chilena. Se describen las principales complicaciones del sistema urinario en pacientes adultos con espina bífida y sugerencias de su manejo.

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Long-Term Enterocystoplasty Follow-Up: Metabolic and Neoplastic Concerns

Cited by 4 publications

References 59 publications

Complication profile of augmentation cystoplasty in contemporary paediatric urology: a 20‐year review

Complication profile of augmentation cystoplasty in contemporary paediatric urology: a 20‐year review

Untitled

Importance of the urinary system evaluation in adult patients with spina bifida

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