Urethroplasty in recurrent urethral diverticula in neurological patients: long‐term results using a personal technique

Ronzoni, G; Giovanni, L. De; Manca, A.; Pasqui, Federico; Mastrangelo, Pietro; Menchinelli, P.

doi:10.1111/j.1464-410x.2004.04917.x

Cited by 13 publications

(11 citation statements)

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“…Urethral diverticula may develop after surgical repair of urethral stricture disease [19,20] or from long-term indwelling urethral catheter use in spinal cord-injured patients [19,21,22]. Additional risk factors for urethral diverticula include periurethral or prostatic abscess, blunt trauma, urethral stricture disease, and urethral stones [23][24][25].…”

Section: Urethral Diverticulummentioning

confidence: 97%

“…Ronzoni et al [22] described their experience with recurrent urethral diverticula in patients with neurogenic bladder dysfunction using an adaptation of the Monsieur technique. This involves diverticulum excision, isolation of the urethra from the corpus cavernosa for at least 10 cm, full-thickness incision of the ventral surface of the urethra following an "italic S" shape, rotation of the urethral longitudinally 180°, and suturing of the urethral border to the tunica albuginea of the corpora.…”

Section: Urethral Diverticulummentioning

confidence: 99%

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Urethral Reconstruction in Patients with Neurogenic Bladder Dysfunction

Casey

Gonzalez

2010

Curr Bladder Dysfunct Rep

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Prolonged urethral catheterization can lead to significant urethral defects, including strictures, diverticula, erosions, and fistulas. Although it is a potentially challenging procedure, urethral reconstruction can allow patients with neurogenic bladder dysfunction to continue clean intermittent catheterization, improve or maintain their cosmetic appearance, and improve sexual function. There is a paucity of literature focusing specifically on urethral reconstruction in patients with neurogenic bladder dysfunction, with most studies involving small, heterogeneous populations. This article reviews published outcomes of urethral reconstruction and comments on the technical aspects of repair in patients with neurogenic bladder dysfunction.

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Section: Urethral Diverticulummentioning

confidence: 97%

Section: Urethral Diverticulummentioning

confidence: 99%

Urethral Reconstruction in Patients with Neurogenic Bladder Dysfunction

Casey

Gonzalez

2010

Curr Bladder Dysfunct Rep

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“…The association between IC and UD in SCI patients was already stated in other studies. 3 Ronzoni et al 7 published a series in which they showed that the total amount of patients who suffered from a relapsed UD after surgical treatment had carried an IC.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Most SCI patients develop neurogenic lower urinary tract dysfunction (NLUTD). The aim of a proper management of NLUTD is, mainly, to preserve the renal function and to maintain, as much as possible, the patient's quality of life, by reducing urologic complications.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of urethral diverticula in male patients with spinal cord injury

et al. 2015

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Study design: A case-control study in a series of 55 males with urethral diverticula (UD) and their correspondent control, matched by age and time of radiological assessments. Objectives: To evaluate the risk factors to develop UD in males with spinal cord injury (SCI) and the place in the urethra where they are, most commonly, allocated. Setting: Toledo, Spain. Methods: Clinical histories and urodynamic studies, of all patients, were reviewed. The study was completed with a telephone survey according to an established protocol.Results: The univariate analysis study showed the following risk factors: the age of onset of the spinal injury, the sphincterotomy procedure, personal history of lower urinary tract infections (LUTIs) and the chronic need of either indwelling catheter (IC) or the external condom drainage (ECD). Regarding the location of the UD, we have found the stress urinary incontinence as the only risk factor to develop UD in the prostatic urethra. On the other hand, we can conclude that the sphincterotomy, the ECD, the personal history of LUTIs and the detrusor external sphincter dyssynergia seem to be risk factors to develop diverticula in the bulbo-membranous urethra. Finally, we could point out the IC as the only risk factor for penile UD. Multivariate analysis showed that all of these risk factors were independent among them except the age of the onset of the injury and the ECD for UD in the bulbo-membranous urethra. Conclusion: According to our study, there is evidence of some specific risk factors for the development of UD in male patients with SCI, and therefore we should adopt the appropriate preventive measures to prevent them.

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“…25 Another case series of only four patients who underwent urethral diverticulae repair advocate one-stage repair with suprapubic diversion and reported no failures. 13 False urethral passages due to catheterisation are high in the SCI population.…”

Section: Investigation and Managementmentioning

confidence: 99%

Urethral Complications in Spinal Cord Injury

Gordon¹,

Mangera²

2018

J Reconstr Urol

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rethral complications are recognised in patients post spinal cord injury (SCI) and can be challenging to manage. Our aim was to review the literature to identify the aetiology, incidence, risk factors and management for urethral complications in spinal cord injured patients. METHODSA search was carried out using the PubMed database for peer reviewed articles on 01/01/18. The following search terms were used: "spinal cord injury", "cauda equina", "neuropathic bladder" "neurogenic bladder" and were combined with "urethral complications", "urethral stricture", "urethral di- J Reconstr Urol 2018;8(1):21-7 21Urethral Complications in Spinal Cord Injury A AB BS S T TR RA AC CT T Spinal cord injury may pose a difficulty for the bladder to empty efficiently. In this scenario catheters are utilised, either in the form of clean intermittent catheterisation (CIC) or indwelling catheters. Little has been collated in the literature regarding the urethral complications associated with these methods of bladder drainage. We reviewed the literature of the published articles reporting on the urethral complications associated with catheter use in the spinal cord injured population. Long term, both methods carry a risk of urethral complications including tructuring, erosion, fistulation and diverticulum formation with less risk reported for CIC. Although reports of the management of these complications are limited in the literature, surgical repair forms the mainstay of management and in severe cases urinary diversion is required.K Ke ey yw wo or rd ds s: : Urethral complications; urethral erosion; urethral diverticulum; urethral stricture; urethral fistula; spinal cord injuries; clean intermittent catheterisation Ö ÖZ ZE ET T Spinal kord yaralanması, mesanenin etkin boşaltılmasında önemli güçlük çıkarabilir. Bu durumda "clean intermittent" kateterler (CIC) ve/veya "indwelling" kateterler kullanılabilir. Bu metotlarla mesanenin boşaltılmasına ilişkin üretral komplikasyonları ele alan literatürü gözden geçirdik. Spinal kord hasarı yaşamış popülasyonda kateter kullanımına ilişkin üretral komplikasyonları ele alan makaleleri derledik. Uzun dönemde, her iki kateter yönteminde de sık rastlanan komplikasyonlar erozyon, fistülasyon ve divertikulum formasyonu olmakla beraber, bu riskler CIC ile daha az rapor edilmiştir. Bu komplikasyonların yönetimine ilişkin makalelerin raporların sayısı az olmakla birlikte, bunların tedavisinde ana yöntem cerrahi onarım olmaktadır. Şiddetli olgularda üriner diversiyon gerekmektedir.A An na ah h t ta ar r K Ke e l li i m me e l le

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Urethroplasty in recurrent urethral diverticula in neurological patients: long‐term results using a personal technique

Cited by 13 publications

References 1 publication

Urethral Reconstruction in Patients with Neurogenic Bladder Dysfunction

Urethral Reconstruction in Patients with Neurogenic Bladder Dysfunction

Risk factors of urethral diverticula in male patients with spinal cord injury

Urethral Complications in Spinal Cord Injury

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