Bladder augmentation and urinary diversion in patients with neurogenic bladder: Surgical considerations

Stein, Raimund; Schröder, A.; Thüroff, Joachim W.

doi:10.1016/j.jpurol.2011.11.014

Cited by 54 publications

(31 citation statements)

References 113 publications

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“…It is the only choice if patients are unable to perform CIC or have chronic renal failure. Complications of diversion include ureterointestinal stenosis (2-7 %), stomal stenosis (up to 32 %), and stone formation (10 %) [58].…”

Section: Surgerymentioning

confidence: 99%

Management of Neurogenic Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

Sadiq

Brucker

2015

Curr Urol Rep

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Multiple sclerosis (MS) can be a debilitating neurological condition that attributes significant morbidity to bladder dysfunction. Although many effective treatment options exist, symptomatic patients are often underdiagnosed and undertreated. The purpose of this article is to give an overview of the current literature including new screening tools to identify symptomatic patients and updates on treatment options including medications, botulinum toxin, and neuromodulation.

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Section: Surgerymentioning

confidence: 99%

Management of Neurogenic Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

Sadiq

Brucker

2015

Curr Urol Rep

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“…If patients have DO, a small-capacity bladder, or a poor filling-compliant bladder and all the conservative approaches have failed, surgical treatment can be considered to prevent upper tract damage by lowering bladder pressure and to improve QoL by restoring continence [85]. With the benefits of increasing bladder capacity while simultaneously lowering filling pressures, bladder augmentation by use of detubularized bowel segments is a widely accepted and effective surgical approach to achieving an adequate reservoir of urine [86].…”

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

“…Complications of bladder augmentation include bladder stones, recurrent UTI and chronic bacteruria, metabolic disturbances, bowel disturbance, bladder perforation, and increased risk of bladder or bowel malignancy [85,86,88]. Surgical revision is required in about one third of patients and careful lifelong follow-up is necessary, because some of these complications can occur late [85]. Although some neurogenic bladder patients may be able to void spontaneously after bladder augmentation with abdominal straining and simultaneous relaxation of the pelvic floor, 10 to 75% of patients require intermittent catheterization [27,60,87].…”

Section: Treatmentmentioning

confidence: 99%

“…In the case of neurogenic bladder patients with adequate bladder compliance and capacity, who have primary or remaining urinary incontinence after bladder augmentation alone owing to sphincter weakness, artificial urinary sphincter or bulbourethral sling procedures may be considered at the time of bladder augmentation or afterward [60,85]. Although these replacement procedures provide satisfactory success rates in carefully selected patients, the procedures may require sufficient hand function of the patients and a higher rate of revision and reoperation [60,85]. …”

Section: Treatmentmentioning

confidence: 99%

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Management of Lower Urinary Tract Dysfunction in Patients with Neurological Disorders

2012

Korean J Urol

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The proper performance of the lower urinary tract is dependent on an intact neural innervation of the individual structures involved. Therefore, any congenital neurological anomalies, diseases, or lesions of the central, peripheral, or autonomic nervous systems can result in lower urinary tract symptoms. Lower urinary tract dysfunction (LUTD) secondary to neurological disorders can significantly reduce quality of life (QoL) and may also give rise to serious complications and psychological and social sequelae. The goals of management of LUTD in patients with neurological disorders are to prevent serious complications and to improve the patient's QoL. Understanding the physiology and pathophysiology of micturition is critical to selecting appropriate treatment options. This article provides an overview of the clinical characteristics, diagnosis, and management of LUTD in patients with certain central and peripheral neuropathies and common lesions.

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Guidelines of the Brazilian Society of Oncologic Surgery for pelvic exenteration in the treatment of cervical cancer

Laporte¹,

Zanini²,

Zanvettor³

et al. 2019

Journal of Surgical Oncology

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Background and Objectives The primary treatment for locally advanced cases of cervical cancer is chemoradiation followed by high‐dose brachytherapy. When this treatment fails, pelvic exenteration (PE) is an option in some cases. This study aimed to develop recommendations for the best management of patients with cervical cancer undergoing salvage PE. Methods A questionnaire was administered to all members of the Brazilian Society of Surgical Oncology. Of them, 68 surgeons participated in the study and were divided into 10 working groups. A literature review of studies retrieved from the National Library of Medicine database was carried out on topics chosen by the participants. These topics were indications for curative and palliative PE, preoperative and intraoperative evaluation of tumor resectability, access routes and surgical techniques, PE classification, urinary, vaginal, intestinal, and pelvic floor reconstructions, and postoperative follow‐up. To define the level of evidence and strength of each recommendation, an adapted version of the Infectious Diseases Society of America Health Service rating system was used. Results Most conducts and management strategies reviewed were strongly recommended by the participants. Conclusions Guidelines outlining strategies for PE in the treatment of persistent or relapsed cervical cancer were developed and are based on the best evidence available in the literature.

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Bladder augmentation and urinary diversion in patients with neurogenic bladder: Surgical considerations

Cited by 54 publications

References 113 publications

Management of Neurogenic Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

Management of Neurogenic Lower Urinary Tract Dysfunction in Multiple Sclerosis Patients

Management of Lower Urinary Tract Dysfunction in Patients with Neurological Disorders

Guidelines of the Brazilian Society of Oncologic Surgery for pelvic exenteration in the treatment of cervical cancer

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