Bladder Augmentation and Urinary Diversion for Neurogenic LUTS: Current Indications

Sajadi, Kamran P.; Goldman, Howard B.

doi:10.1007/s11934-012-0271-z

Cited by 21 publications

(3 citation statements)

References 30 publications

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“…Pyocystis has been linked with Proteus species infection as well as prostatic secretions in males . Management strategies for pyocystis include urethral or percutaneous drainage, vaginal marsupialization, or periodic irrigation . Once these options are exhausted, delayed cystectomy is usually performed.…”

Section: Ileal Conduitmentioning

confidence: 99%

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Options for independent bladder management in patients with spinal cord injury and hand function prohibiting intermittent catheterization

Sorokin

2013

Neurourol. Urodynam.

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The available literature consists primarily of level 3 data. Patient reported outcomes were rarely measured. External sphincterotomy is a good option for males who are candidates for an external catheter and who wish to avoid a complicated reconstruction-most will need re-operations for failure. Suprapubic tube is an option in both genders. Complaints usually involve urine leakage and urinary tract infection, which typically resolve with conservative measures. There is some evidence to support patient satisfaction. Ileal conduit is an option for all patients with quadriplegia, offering continuous drainage and absence of foreign material. Many providers and patients will choose more conservative options first. The ileovesicostomy is best applied to small bladders with severe overactivity. The "reversibility" of this procedure makes it attractive to those not interested in an ileal conduit and who have had complications from prolonged suprapubic tube placement. The authors conclude with recommendations for future research, most importantly more standard reporting of objective data.

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Section: Ileal Conduitmentioning

confidence: 99%

“…45 Management strategies for pyocystis include urethral or percutaneous drainage, vaginal marsupialization, or periodic irrigation. 46 Once these options are exhausted, delayed cystectomy is usually performed. The overall rate of delayed cystectomy was 11% and most were performed for complications related to pyocystis.…”

Section: Complicationsmentioning

confidence: 99%

Options for independent bladder management in patients with spinal cord injury and hand function prohibiting intermittent catheterization

Sorokin

2013

Neurourol. Urodynam.

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“…(6,(152)(153)(154) Compliance is increased in 69-100% of cases, continence restored in 75-100%, and QoL improved in >90%. (155)(156)(157)(158)(159)(160)(161)(162)(163) Contraindications include bladder malignancy or stones, significant renal dysfunction, bowel disease and/or prior resection, and inability or unwillingness to maintain CIC. Where CIC per urethra is not feasible, patients should be offered continent cutaneous urinary diversion (CCUD).…”

Section: Bladder Augmentation (Ba)mentioning

confidence: 99%

Canadian Urological Association guideline: Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction - Full text

Kavanagh¹,

Baverstock²,

Campeau³

et al. 2019

CUAJ

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The term 'neurogenic bladder' describes lower urinary tract dysfunction that has occurred likely as a result of a neurological injury or disease (1) . The International Continence Society (ICS) defines 'neurogenic lower urinary tract dysfunction' (NLUTD) as 'lower urinary tract dysfunction due to disturbance of the neurologic control mechanism.' This broad definition is used to describe a multitude of conditions of varying severity.Common causes of NLUTD include: spinal cord injury (SCI), multiple sclerosis (MS) and myelomeningocele (MMC). Other causes of NLUTD include: Parkinson's disease, cerebrovascular accidents, traumatic brain injury, brain or spinal cord tumor, cauda equina syndrome, transverse myelitis, multisystem atrophy, pelvic nerve injury and diabetes.It is well described that neurological disorders can lead to urologic complications including: urinary incontinence, UTIs, urolithiasis, sepsis, ureteric obstruction, vesicoureteric reflux (VUR) and renal failure (2) . Due to the potential morbidity, and even mortality, initial investigation, ongoing management and surveillance is warranted in this patient population. Despite the frequency and potential severity of NLUTD, there are few high-quality studies in the literature to guide urological practices. CUAJ -CUA Guideline Kavanagh et al Guideline: Neurogenic bladderPrior neurogenic guidelines vary in their clinical assessment, investigations utilized and surveillance strategies (2)(3)(4)(5)(6) . The primary reason is that there is limited evidence to support a common strategy. The purpose of this guideline is to help urologists to identify high-risk patients with NLUTD and to provide an approach to the management and surveillance of patients with NLUTD. ClassificationThe etiology of a NLUTD is often classified based on whether the primary lesion is suprapontine, suprasacral, sacral or infrasacral (7) . A complementary system was developed by Madersbacher et al. based on the function of the detrusor muscle and of the external sphincter (8) . These systems allow a physician to have a general idea of how the lower urinary tract is likely to behave in SCI patients with more complete injuries. (Figure 1). Newer systems using MR urography in combination with urodynamics (UDS) have also been proposed. (9) MethodologyThis review was performed according to the methodology recommended by the Canadian Urologic Association (10) . EmBASE and Medline databases were used to identify literature relevant to the early urological care of NLUTD patients. Recommendations were developed by consensus and graded using a modified Oxford system which identifies level of evidence (LOE) and grade of recommendation (GOR). This complete version includes the full text of the guidelines (including the sections in the executive summary). Canadian epidemiology of neurogenic bladderThere are 3.7 million Canadians living with a neurologic condition, (11,12) three common types of neurologic conditions are Multiple Sclerosis (MS), Spina Bifida (SB) and Spinal Cord Injury (SCI). In ...

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Bladder Tissue Engineering

Birla

2014

Introduction to Tissue Engineering

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Bladder Augmentation and Urinary Diversion for Neurogenic LUTS: Current Indications

Cited by 21 publications

References 30 publications

Options for independent bladder management in patients with spinal cord injury and hand function prohibiting intermittent catheterization

Options for independent bladder management in patients with spinal cord injury and hand function prohibiting intermittent catheterization

Canadian Urological Association guideline: Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction - Full text

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