Sigmoid Cystoplasty With Argon Beam Without Mucosa

Badiola, Francisco de; Ruiz, Eduardo; Puigdevall, J.; Lobos, Pablo; Moldes, Juan; Raffo, Massimiliano; Gallo, A.

doi:10.1016/s0022-5347(05)66177-0

Cited by 25 publications

(9 citation statements)

References 11 publications

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“…The degree of bladder enlargement obtained in the present series is similar to that previously reported by us [5], and to other techniques that avoid preserving the intestinal mucosa [10]. Specifically, the bladder capacity at < 30 cmH 2 O exceeded that expected for age in most patients.…”

Section: Discussionsupporting

confidence: 91%

Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter

et al. 2002

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Purpose To review the results of artificial urinary sphincter (AUS) implantation combined with seromuscular colocystoplasty (SCLU) in the treatment of mixed neurogenic urinary incontinence in children. Patients and methods Patients (27, six females) who had undergone SCLU were interviewed, and their charts and imaging studies reviewed retrospectively. Their urodynamic data were analysed and bladder capacity, end-filling pressure, safe capacity and percentage of expected capacity for age compared before and after surgery. Continence was defined as dryness between catheterizations or voiding with no need for protective pads. Results The mean ( SD ) follow-up since the SCLU was 1.7 (1.1) years; continence was achieved in 24 of the 27 (89%) patients with no additional procedures. No significant upper tract changes developed. Bladder capacity, safe capacity for age and end-filling pressure were all improved significantly. There were two AUS erosions necessitating removal and in one patient the augmentation failed. Six patients early in the series developed an 'hourglass' deformity that required correction. Modifications to the technique to avoid this complication are discussed. Conclusions For children with neuropathic incontinence who require both augmentation of outlet resistance and bladder storage capacity, the combination of the AUS and SCLU effectively achieves continence with no upper tract deterioration. SCLU is also the preferred method of augmentation when adverse bladder changes occur after implanting the AUS.

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Section: Discussionsupporting

confidence: 91%

Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter

et al. 2002

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“…The reported results of their series did not include changes in safe BC and the procedure has not been reported from other centers. Likewise, the removal of the intestinal mucosa with the argon coagulator has not been reported by other groups (58). …”

Section: Discussionmentioning

confidence: 84%

“…Like Lima, de Badiola et al (58) also omitted preservation of the urothelium, did not find the use of a balloon necessary in 10 children and coagulated the sigmoid mucosa with the argon coagulator before removal to prevent regrowth. At a mean follow up of 18 months, they reported an increase in BC of 3.75-fold.…”

Section: Resultsmentioning

confidence: 99%

“…To avoid the spending the time and effort necessary to perform a satisfactory detrusorectomy leaving the urothelium intact, Lima et al (79) and de Badiola et al (58) used the demucosalized bowel as in a conventional cystoplasty, that is without preserving the urothelium. To prevent contraction of the segment, Lima et al left an intravesical silicone balloon indwelling for 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

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Alternatives to Conventional Enterocystoplasty in Children: A Critical Review of Urodynamic Outcomes

González¹,

Ludwikowski²

2013

Front. Pediatr.

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Alternatives to conventional enterocystoplasty have been developed in order to avoid the most common complications derived from contact of the urine with intestinal mucosa. In this article critically we review the literature on the topics: ureterocystoplasty, detrusorectomy, detrusorotomy, seromuscular gastroenterocystoplasty, use of off the shelf biomaterials, and bladder augmentation by bioengineering. Recognizing the difficulty of deciding when a child with a history of posterior urethral valves requires and augmentation and that the development of a large megaureter in cases of neurogenic dysfunction represents a failure of initial treatment, we conclude that ureterocystoplasty can be useful in selected cases when a large dilated ureter is available. Seromuscular colocystoplasty lined with urothelium (SCLU) has been urodynamically effective in several series when the outlet resistance is high and no additional intravesical procedures are necessary. Seromuscular gastrocystoplasty lined with urothelium seems to offer no distinct advantages and involves a much more involved operation. The use of seromuscular segments without urothelial preservation, with or without the use of an intravesical balloon has been reported as successful in two centers but strict urodynamic evidence of its effectiveness is lacking. The published evidence argues strongly against the use of detrusorectomy or detrusorotomy alone because of the lack of significant urodynamic benefits. Two recent reports discourage the use of small intestinal submucosa patches because of a high failure rate. Finally, research into the development of a bioengineered bladder constructed with cell harvested from the same patient continues but is fraught with technical and conceptual problems. In conclusion of the methods reviewed, only ureterocystoplasty and SCLU have been proven urodynamically effective and reproducible.

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“…promising new technique involves removing the intestinal mucosa with an argon beam prior to performing sigmoid cystoplasty [15]. The de-epithelialization of the intestinal mucosa allows for re-epithelialization with urothelium, thus reducing intestinal epithelium complications.…”

Section: Seromuscular Ormentioning

confidence: 99%

Advances in bladder augmentation

Schalow

Kirsch

2002

Curr Urol Rep

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Over the past 20 years, rapid advances have been made in bladder augmentation due to the introduction of clean intermittent catheterization, the use of intestinal segments interposed into the urinary tract, and the development of tissue expansion. The particular augmentation method selected from the multiple methods currently available is an individualized process that takes into account both patient factors and potential complications. Exciting new techniques, such as tissue engineering, may change the face of lower urinary tract reconstruction.

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Sigmoid Cystoplasty With Argon Beam Without Mucosa

Cited by 25 publications

References 11 publications

Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter

Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter

Alternatives to Conventional Enterocystoplasty in Children: A Critical Review of Urodynamic Outcomes

Advances in bladder augmentation

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