Long-Term Results and Complications of Augmentation Ileocystoplasty for Idiopathic Urge Incontinence in Women

Awad, S. A.; Alzahrani, Hassan M.; Gajewski, J. B.; Bourque-Kehoe, A. A.

doi:10.1097/00005392-199903000-00110

Cited by 11 publications

(16 citation statements)

References 5 publications

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“…The incorporation of some parts of the intestinal system in the urinary tract is associated with several metabolic consequences. These complications include hyperchloremic metabolic acidosis, bacterial colonization, mucus production, stone formation, vitamin B12 deficiency, and tumor formation [4][5][6]. Although it is rarely encountered and controversial data have been reported, studies did demonstrate that the procedure could have some effects on bone mineral metabolism in adults [7,8].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of bone mineral density after ileocystoplasty in children with and without myelomeningocele

et al. 2006

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We evaluated the bone mineral density (BMD) after ileal augmentation cystoplasty in a group of children with and without myelomeningocele. Between 1996 and 2003, eight patients with neurogenic bladder and seven patients with non-neurogenic bladder underwent augmentation ileocystoplasty. Preoperative and postoperative serum creatinine and electrolytes were measured. All patients underwent clinical evaluation, supine height measurement, blood gas analysis, and BMD measurement using a dual energy X-ray absorptiometry (DEXA) postoperatively. BMD was measured at L1-L4 and femoral neck, and compared to age- and sex-matched population. Follow-up time was calculated from the day of surgery to the day of DEXA performance. A total of eight boys and seven girls with the mean age of 10.2 +/- 4.1 years were evaluated with respect to BMD measurement. Mean age was 9.8 years in neurogenic group and 10.5 in non-neurogenic group. Mean follow-up was 728 and 616 days in neurogenic and non-neurogenic groups, respectively. There were no significant differences between ages, follow-up times, preoperative and postoperative creatinine levels, pH and bicarbonate values, and supine heights. Mean BMD at L1-L4 was 55.7% in neurogenic group and 83.8% in non-neurogenic group. There was a statistically significant difference between the two groups (P = 0.02). Mean BMD at femoral neck was 72% in neurogenic group and 86.2% in non-neurogenic group. The difference was also statistically significant (P = 0.028). After augmentation ileocystoplasty, the BMD in early postoperative period of patients with myelomeningocele is lower than the patients with non-neurogenic neurogenic bladder, which have the same clinical characteristics except the neurologic pathology. In the light of our findings and the reported literature data as well, we may claim that BMD decrease after augmentation ileocystoplasty depends more on the underlying neurologic pathology and its locomotor consequences rather than the enterocystoplasty itself.

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Section: Introductionmentioning

confidence: 99%

Evaluation of bone mineral density after ileocystoplasty in children with and without myelomeningocele

et al. 2006

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“…It should be noted, however, that complaints persisted even after complete cystectomy in some patients [38]. Success rates of enterocystoplasty vary considerably [39,40,41]. This wide range of results reflects the fact that many patients included in a number of series had IC.…”

Section: Resultsmentioning

confidence: 99%

“…Another reason for the wide discrepancy is the inconsistency in defining and measuring success. Success rates vary considerably in some of the studies, depending on the authors' definitions of success and the patients' view of the outcome [41]. The complication rate after enterocystoplasty may be considerable.…”

Section: Resultsmentioning

confidence: 99%

Surgical management for overactive bladder

Appell

Boone

2007

Curr Bladder Dysfunct Rep

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“…Dans le cas de l'iléon, on peut retrouver une acidose hyperchlorémique, un syndrome de perte hydrosodée. La complication la plus rare, 2 à 5 % [27,28], mais très grave est la rupture du réservoir, elle est en général le fait d'une surpression dans le réservoir.…”

Section: Entérocystoplastie D'agrandissementunclassified

“…Toutes les études retrouvent une amélio-ration significative de la capacité et de la compliance [18,19,[29][30][31][32][33][34] ainsi qu'une amélioration significative de la qualité de vie [35,36]. La continence urinaire de jour et de nuit est obtenue dans 70 à 95 % des cas [24,27,[36][37][38][39][40].…”

Section: Entérocystoplastie D'agrandissementunclassified

Traitements chirurgicaux des hyperactivités vésicales neurologiques

Peyrat

2010

Lett Med Phys Readapt

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Les traitements chirurgicaux des hyperactivités vésicales neurologiques sont réservés aux échecs des traitements médicaux, conservateurs. Le but de ces interventions est d'obtenir un réservoir vésical de bonne capacité qui se remplit à basse pression. Cela permet de diminuer les symptômes, de préserver le haut appareil urinaire et de diminuer les complications des vessies neurologiques. Plusieurs options thérapeutiques sont à décrire : les méthodes chirurgicales de dénervation vésicale, la détrusoromyomectomie, les entérocystoplasties avec ou sans dérivation urinaire continente et enfin les dérivations urinaires non continentes. Nous ne parlerons pas de la neuromodulation sacrée qui fera l'objet spécifiquement d'un article.Mots clés Hyperactivité vésicale neurologique · Traitement chirurgical · Haut appareil urinaire · Vessie neurologique · Détrusoromyomectomie · Entérocystoplastie Abstract Surgical treatment of neurogenic bladder hyperactivity is reserved for cases where conservative medical treatment has failed. The objective of such surgery is to obtain a bladder of adequate capacity, which fills at low pressure. This minimises symptoms, protects the upper urinary tract and reduces the complications of neurogenic bladder. There is a range of therapeutic options: surgical techniques for bladder denervation, detrusor myomectomy, enterocystoplasties with or without continent urinary diversion and, finally, non-continent urinary diversion procedures. We shall not discuss the technique of sacral neuromodulation, which will form the object of a separate article.

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Long-Term Results and Complications of Augmentation Ileocystoplasty for Idiopathic Urge Incontinence in Women

Cited by 11 publications

References 5 publications

Evaluation of bone mineral density after ileocystoplasty in children with and without myelomeningocele

Evaluation of bone mineral density after ileocystoplasty in children with and without myelomeningocele

Surgical management for overactive bladder

Traitements chirurgicaux des hyperactivités vésicales neurologiques

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