Long-term results and complications using augmentation cystoplasty in reconstructive urology
dc.contributor.author | Flood, Hugh D. | en_US |
dc.contributor.author | Malhotra, Sumeeta J. | en_US |
dc.contributor.author | O'Connell, Helen E. | en_US |
dc.contributor.author | Ritchey, Michael J. | en_US |
dc.contributor.author | Bloom, David A. | en_US |
dc.contributor.author | McGuire, Edward J. | en_US |
dc.date.accessioned | 2006-04-28T17:00:00Z | |
dc.date.available | 2006-04-28T17:00:00Z | |
dc.date.issued | 1995 | en_US |
dc.identifier.citation | Flood, Hugh D.; Malhotra, Sumeeta J.; O'Connell, Helen E.; Ritchey, Michael J.; Bloom, David A.; McGuire, Edward J. (1995)."Long-term results and complications using augmentation cystoplasty in reconstructive urology." Neurourology and Urodynamics 14(4): 297-309. <http://hdl.handle.net/2027.42/38474> | en_US |
dc.identifier.issn | 0733-2467 | en_US |
dc.identifier.issn | 1520-6777 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/38474 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=7581466&dopt=citation | en_US |
dc.description.abstract | One hundred and twenty-two augmentation cystoplasties performed over an 8-year period were reviewed. Mean age at surgery was 37 years (range 2–82 years). There were 82 female patients. The primary urodynamic diagnosis was reduced compliance in 92 (77%) pattenls and detrusor hyperreflexia/instability in the remainder. The clinical diagnostic groups were: spinal cord injury/disease in 32 (27%), myelodysplasia in 27 (22%), interstitial cystitis in 21 (17%), idiopathic detrusor instability in 13 (11%), radiation cystitis in 8 (7%). Hinman-Allen syndrome in 5 (4%), and miscellaneous in 11 (9%). A detubularized, ileal augmentation was used in 82 (67%) patients. In 36 (30%) a detubularized ileocecocystoplasty was fashioned and in the remainder detubularized sigmoid was used. In 19 patients augmentation accompanied undiversion. Sixteen patients had a simultaneous fascial sling for urethral incompetence. Mean follow-up was 37 months (range 6–96 months). There was no postoperative mortality. During follow-up 4 patients died from unrelated causes, 11 have been lost to follow-up, and 5 patients await planned transplantation. Bladder capacity was increased from a preoperative mean of 108 ml (range 15–500 ml) to 438 ml (200–1,200 ml) postoperatively. Of the 106 assessable patients, 80 (75%) had an excellent result, 21 (20%) were improved, and 5 (5%) had major ongoing problems. During the period of follow-up, 17 (16%) patients underwent revision of their augmentation. Twenty-four (21%) patients developed bladder stones and 30% of these did so more than once. Urinary incontinence became manifest in 15 (13%) patients but required surgical treatment in only half of these. Pyelonephritis occurred in 13 (11%) patients. Five patients developed small bowel obstruction following discharge from hospital. There were 7 instances of reservoir rupture in 5 (4%) patients. Augmentation cystoplasty has a pivotal role in the treatment of a broad range of lower and upper urinary tract problems. Careful patient selection and close follow-up are essential. © 1995 Wiley-Liss, Inc. | en_US |
dc.format.extent | 770226 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Miscellaneous Medical | en_US |
dc.title | Long-term results and complications using augmentation cystoplasty in reconstructive urology | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Urology, University of Michigan Hospitals, Ann Arbor | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Urology, University of Michigan Hospitals, Ann Arbor | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Urology, University of Michigan Hospitals, Ann Arbor | en_US |
dc.contributor.affiliationother | Division of Urology, Medical School, University of Texas, Houston | en_US |
dc.contributor.affiliationother | Division of Urology, Medical School, University of Texas, Houston | en_US |
dc.contributor.affiliationother | Division of Urology, Medical School, University of Texas, Houston ; Division of Urology, University of Texas Medical School, 6431 Fannin, Suite 6.018, Houston, TX 77030 | en_US |
dc.identifier.pmid | 7581466 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/38474/1/1930140402_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/nau.1930140402 | en_US |
dc.identifier.source | Neurourology and Urodynamics | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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