Bladder calculi in the augmented bladder: A follow-up study of 160 children and adolescents

Kisku, Sundeep; Sen, Sudipta; Karl, Sampath; Mathai, John; Thomas, Raji; Barla, Ravi Kishore

doi:10.1016/j.jpurol.2014.12.003

Cited by 32 publications

(21 citation statements)

References 24 publications

(32 reference statements)

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“…After bladder augmentation, the mucosal part of the 'intestinal niche' is introduced into the urinary tract [1]. Thus, the question arises whether or not the intestinal mucosa invites colonization of the native UB with gut microbes and be therefore responsible for the long-term complications after bladder augmentation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The local microbiome after pediatric bladder augmentation: intestinal segments and the native urinary bladder host similar mucosal microbiota

Kispal

Vajda

Kardos

et al. 2019

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

“…The objective of bladder augmentation is to create a lowpressure storage reservoir of sufficient capacity to preserve upper urinary tract function and establish urinary continence when maximal medical therapy is unsuccessful [1]. Several techniques, including ileocystoplasty (ICP) or colocystoplasty (CCP), have been described.…”

Section: Introductionmentioning

confidence: 99%

The local microbiome after pediatric bladder augmentation: intestinal segments and the native urinary bladder host similar mucosal microbiota

Kispal

Vajda

Kardos

et al. 2019

Journal of Pediatric Urology

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“…La gran mayoría de los reportes en la literatura sobre la cistolitotomía percutánea son en relación con cálculos vesicales en pacientes pediátricos, asociados a neovejigas con intestino 11,12 .…”

Section: Figura 3 Litos Extraídosunclassified

Cistolitotomía percutánea en paciente con derivación urinaria compleja tipo Mitrofanoff

Ruiz

Bernal

2016

Urología Colombiana

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Resumen Introducción y objetivos: Los cálculos vesicales son los más frecuentes del tracto urinario bajo.El factor predisponente más frecuente para la formación de cálculos vesicales es la obstrucción del tracto de salida. Presentaremos el caso de una paciente con antecedente de traumatismo uretral por fractura de pelvis, derivada con un Mitrofanoff con diagnóstico de cistolitiasis múltiple con cálculos de hasta 1 cm. El objetivo es mostrar la posibilidad de manejo de la cistolitiasis vía percutánea en una paciente con una derivación urinaria compleja funcionante, procedimiento menos mórbido, con menor tiempo de recuperación y con resultados comparables a otras técnicas. Materiales y métodos: Inicia el procedimiento previa cateterización del Mitrofanoff con sonda Foley 12 Fr, realizando punción suprapúbica para mediana izquierda a 2 cm de la rama púbica con aguja Chiba; posteriormente se avanzó una guía hidrofílica seguida de varilla y dilatadores secuenciales de Alken 9 Fr-27 Fr y colocación de camisa Amplatz 28 Fr. Se retiraron dilatadores conservando la guía de seguridad y se extrajeron la totalidad de los cálculos. Se ocluyó la herida y se dejó sonda Foley conectada a Cystoflo. El egreso se produjo al primer día postoperatorio, y la retirada de la sonda Foley a los 5 días postoperatorio. Resultados: No se presentaron complicaciones, el tiempo operatorio fue de 1 h, con un día de estancia hospitalaria. La recuperación fue satisfactoria, con un resultado exitoso en cuanto a la extracción completa de los cálculos en un solo tiempo quirúrgico. Conclusiones: La cistolitotomía percutánea es una opción de manejo, la cual ofrece grandes ventajas. Debe ser considerada no solo en pacientes con acceso uretral restringido.

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“…Several factors may contribute to stone formation, including chronic metabolic acidosis, resultant chronic kidney disease, and hypercalciuria related to wheel-chair dependence related osteodystrophy. Recent evidence by Kisku, et al revealed exstrophy/epispadias and recurrent UTIs as independent risk factors for developing bladder calculi in patients with bladder augmentations (33).…”

Section: Bladder Calculimentioning

confidence: 99%

“…Studies revealed a median time to stone formation of 37.5 months (range 11-120 months) (33) and a high recurrence rate after treatment. Indeed, between 15-29% of bladder calculi recur in less than 2 years (24).…”

Section: Bladder Calculimentioning

confidence: 99%

Long-Term Sequela of Pediatric Bladder Reconstruction

Roth

Keenan

Cain

et al. 2015

Curr Bladder Dysfunct Rep

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Children with refractory neurogenic bladder (NGB) who have failed maximal medical management are presented with options for bladder reconstruction. It is critical to understand the long-term sequela of bladder augmentation and bladder neck reconstruction to properly counsel families regarding these procedures. Benefits may include preservation of renal function, continence, reduced risk of renal-related mortality and potential improvements in quality of life (QOL). However, these advantages must be balanced with the risks of bladder calculi, perforation, need for additional surgery, acid/base disturbances, vitamin B12 deficiency and malignancy. Therefore, careful patient selection and preoperative counseling are paramount for those undergoing bladder reconstruction which includes intestinal bladder augmentation, as these patients require lifelong vigilant follow-up. IntroductionChildren with neurogenic bladders (NGB) are initially managed with clean intermittent catheterization (CIC) and anticholinergic medications in order to maintain a sizable, continent, and compliant urinary reservoir. Despite early and aggressive intervention, some patients undergo lower urinary tract reconstruction (bladder augmentation, catheterizable channel and/or bladder neck reconstruction) to protect their upper tracts and achieve continence. In a few select patients with favorable urodynamics (UDS) and low outlet resistance, a bladder neck procedure (BNP) can be performed without bladder augmentation to achieve continence. Myelodysplasia, specifically spina bifida (SB), remains the most common etiology of NGB in the pediatric population. Due to medical advances, particularly in the realm of Urology, more SB patients with bladder reconstruction are surviving into adulthood. We review current literature regarding long-term sequela of bladder reconstruction in pediatric patients with neurogenic bladder, with a primary focus on bladder augmentations for refractory NGB secondary to SB.

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Bladder calculi in the augmented bladder: A follow-up study of 160 children and adolescents

Cited by 32 publications

References 24 publications

The local microbiome after pediatric bladder augmentation: intestinal segments and the native urinary bladder host similar mucosal microbiota

The local microbiome after pediatric bladder augmentation: intestinal segments and the native urinary bladder host similar mucosal microbiota

Cistolitotomía percutánea en paciente con derivación urinaria compleja tipo Mitrofanoff

Long-Term Sequela of Pediatric Bladder Reconstruction

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