Simultaneous Augmentation Cystoplasty Is Associated With Earlier Rather Than Increased Artificial Urinary Sphincter Infection

Catto, James W.F.; Natarajan, Vasanthi; Tophill, Paul

doi:10.1097/01.ju.0000152292.97692.e1

Cited by 17 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, two patients underwent concomitant augmentation cystoplasty without any complications, and delayed augmentation cystoplasty was not associated with a higher risk of reoperation. This corroborates the data from Catto et al, 26 who reported no difference in the long‐term efficacy of staged or simultaneous cystoplasty and AUS implantation. Two patients were successfully treated with botulinum toxin injection.…”

Section: Discussionsupporting

confidence: 91%

“…24 Whether to perform concomitant or delayed augmentation cystoplasty to prevent renal deterioration in this population is still debated. 20,26 In our study, two patients underwent concomitant augmentation cystoplasty without any complications, and delayed augmentation cystoplasty was not associated with a higher risk of reoperation. This corroborates the data from Catto et al, 26 who reported no difference in the long-term efficacy of staged or simultaneous cystoplasty and AUS implantation.…”

Section: T a B L E 3 Risk Factors For Explantationmentioning

confidence: 53%

“…Clinical, urodynamic, and radiographic follow‐up of patients with NLUTD who undergo UI surgery is mandatory because increased bladder outlet resistance may favor high bladder pressure, leading to renal failure 24 . Whether to perform concomitant or delayed augmentation cystoplasty to prevent renal deterioration in this population is still debated 20,26 . In our study, two patients underwent concomitant augmentation cystoplasty without any complications, and delayed augmentation cystoplasty was not associated with a higher risk of reoperation.…”

Section: Discussionmentioning

confidence: 70%

See 2 more Smart Citations

Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children

Paret

Leclair

Karam

et al. 2022

Neurourology and Urodynamics

View full text Add to dashboard Cite

Purpose To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children. Materials and Methods This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantation before 18 years of age between 1986 and October 2018 for intrinsic sphincter deficiency. The primary outcome was the continence rate at the last follow‐up, defined by the daily use of 0 pads. The secondary outcome was the overall survival of the device, defined as the absence of any repeated surgery (revision or explantation) during follow‐up. Reoperation‐free, revision‐free, and explantation‐free device survival rates were estimated using the Kaplan–Meier method. Results Thirty‐six patients with a median age of 12 years (interquartile range [IQR]: 10–14) were included (15 females, 21 males). The median follow‐up was 18.7 years (IQR: 9–26). The main underlying condition was spinal dysraphism (n = 24; 67%). The median time to the first reoperation was 9 years (IQR: 3.75–14.7). At the last follow‐up, survival rates without revision were 84%, 71%, 55%, and 33% at 5, 10, 15, and 20 years, respectively. Survival rates without explantation were 91%, 84%, 80%, and 72% at 5, 10, 15, and 20 years, respectively. At the last follow‐up, 29 patients had a functional device. The overall continence rate was 88%. All patients who had their device still in place were continent at the last follow‐up. Conclusion The artificial urinary sphincter is an effective long‐term treatment for urinary incontinence related to intrinsic sphincter deficiency in children, providing a high rate of continence, even if associated with a high rate of reoperation.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: T a B L E 3 Risk Factors For Explantationmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 70%

See 1 more Smart Citation

Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children

Paret

Leclair

Karam

et al. 2022

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Several surgical options are available to treat co‐existing stress urinary incontinence (SUI), however, AUS is the outlet procedure that offers the maximum chance of spontaneous voiding. AUS insertion can be performed concomitantly with AC without any increased morbidity, infection rate or change to success rates of either procedure [137,138]. There is a theoretical concern that urethral trauma due to CISC in patients with both an AC and an AUS may introduce bacteria into the urine and risk infective complications.…”

Section: Long‐term Complications (Table 1) [131520222387–94]mentioning

confidence: 99%

The past, present and future of augmentation cystoplasty

2011

View full text Add to dashboard Cite

What's known on the subject? and What does the study add? There is a wealth of evidence on the development, indications, outcomes and complications of augmentation cystoplasty (AC). Over the last decade, new evidence has been emerging to influence our clinical practice and application of this technique. AC is indicated as part of the treatment pathway for both neurogenic and idiopathic detrusor overactivity, usually where other interventions have failed or are inappropriate. The most commonly used technique remains augmentation with a detubularised patch of ileum (ileocystoplasty). Controversy persists over the role of routine surveillance following ileocystoplasty for the detection of subsequent bladder carcinoma; however the indication for surveillance after gastrocystoplasty is clearer due to a rising incidence of malignancy in this group. Despite a reduction in the overall numbers of AC operations being performed, it clearly still has a role to play, which we re‐examine with contemporary studies from the last decade.

show abstract

Surgical treatment for overactive bladder

Gajewski

Sawaqed

2015

Overactive Bladder

View full text Add to dashboard Cite

Simultaneous Augmentation Cystoplasty Is Associated With Earlier Rather Than Increased Artificial Urinary Sphincter Infection

Abstract: Our results suggest that, while simultaneous augmentation cystoplasty and artificial urinary sphincter implantation lead to an initial increase in prosthesis infection, this difference disappears after 3 years.

Cited by 17 publications

References 19 publications

Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children

Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children

The past, present and future of augmentation cystoplasty

Surgical treatment for overactive bladder

Contact Info

Product

Resources

About