Bladder Washout andSto ne Formation in Paediatric Enterocystoplasty

Brough, Richard; O’Flynn, Kieran; Fishwick, Janet; Gough, D. C. S.

doi:10.1159/000019643

Cited by 30 publications

(17 citation statements)

References 10 publications

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“…However, in a series of 89 patients reported by Mathoera et al [5] and in a series of 30 patients reported by Brough et al [12], there were no detectable advantages attributable to bladder irrigation, and in the present study, bladder irrigation using normal saline seemed to increase the incidence of BSF possibly because sodium and chloride from the normal saline used to irrigate the bladder remain in the augmented bladder after bladder irrigation and might form crystals that could lead to BSF.…”

Section: Discussioncontrasting

confidence: 51%

Bladder stone formation after sigmoidocolocystoplasty: statistical analysis of risk factors

Yamataka

Koga

Kobayashi

et al. 2005

Journal of Pediatric Surgery

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Section: Discussioncontrasting

confidence: 51%

Bladder stone formation after sigmoidocolocystoplasty: statistical analysis of risk factors

Yamataka

Koga

Kobayashi

et al. 2005

Journal of Pediatric Surgery

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“…It is most likely that the effective mechanism in preventing stone formation is not solely the antibiotic but also the mechanical irrigation, which reduces both mucus accumulation and chronic bacteriuria. The series reported by both Nurse et al [5] and Brough et al [13] would support this contention.…”

Section: Discussionmentioning

confidence: 82%

Preventing reservoir calculi after augmentation cystoplasty and continent urinary diversion: the influence of an irrigation protocol

et al. 2004

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OBJECTIVETo evaluate the influence of an irrigation protocol in preventing reservoir calculi forming after augmentation cystoplasty and continent urinary diversion. 1985 and 1995, 91 patients had an augmentation cystoplasty and/or continent urinary diversion (group 1; 54 females and 37 males, mean age 11.1 years, range 1-31); these patients were not routinely instructed to use irrigation after surgery. The segments used included ileum (44), colon (36), stomach (eight) and ureter (three). Between 1995 and 2000, 42 patients (group 2) underwent urinary reconstruction (22 females and 20 males, mean age 14.8 years, range 4-27), the segment used being ileum (30), colon (five), ureter (five) and stomach (two) but in contrast to group 1 they then were placed on a standard prophylactic irrigation protocol. The occurrence of stones in the reservoir was then assessed. PATIENTS AND METHODS Between RESULTSThirty-nine of the 91 patients (42.8%) in group 1 presented with reservoir calculi after reconstruction and 22 had several episodes. The mean time to presentation was 30 months. The incidence of stone formation by underlying diagnosis included: myelomeningocele, 32/48 (66%), exstrophy five/25 (25%), posterior urethral valves two/20 (10%) and rhabdomyosarcoma, none of three. Fifty of the 91 patients had an abdominal stoma, with stone formation in 33 (66%), while 41 used the native urethra, with stone formation in six (15%). Three (7%) of the 42 patients in group 2 developed reservoir calculi after reconstruction, two in patients with myelomeningocele and one in a trauma patient who had residual bone spicules in the bladder; the mean time to presentation was 26.5 months. CONCLUSIONSThese data suggest that the irrigation protocol used in group 2 significantly reduced the number of reservoir calculi after urinary tract reconstruction when bowel was used as part of the reconstruction (43% vs. 7%). The most calculi in both groups were in immobile patients with sensory impairment. Also, patients with an abdominal stoma had a greater risk of reservoir calculi (66%) than those using the native urethra (15%).

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“…With longer use the incidence of stenosis receded. Four patients had stone formation despite bladder irrigation, thus confirming that this regimen does not significantly reduce the incidence of stone formation [3]. All stones were removed by open surgery.…”

Section: Resultsmentioning

confidence: 98%

The Mitrofanoff procedure: does it last?

2000

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Objective To examine the long‐term effectiveness of the Mitrofanoff principle and establish if the catheterizing channel is sufficiently robust for long‐term use. Patients and methods Ten patients who had undergone Mitrofanoff reconstruction between 1989 and 1991 (minimum follow‐up 10 years) were offered reinterview by one of the authors (J.F.), which involved a structured questionnaire assessing catheterization, continence and complications. Results One patient had died; nine patients were alive and eight agreed to the structured interview. All the patients had their original stoma and all were completely continent. Four of the patients had experienced stenosis, four had had stones and four had been ill with urinary tract infection(s). Conclusion Despite the complications of infection, stones and some episodic stenosis, the Mitrofanoff channel remains functional for long periods without sustaining structural damage.

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Bladder Washout andSto ne Formation in Paediatric Enterocystoplasty

Cited by 30 publications

References 10 publications

Bladder stone formation after sigmoidocolocystoplasty: statistical analysis of risk factors

Bladder stone formation after sigmoidocolocystoplasty: statistical analysis of risk factors

Preventing reservoir calculi after augmentation cystoplasty and continent urinary diversion: the influence of an irrigation protocol

The Mitrofanoff procedure: does it last?

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