Efficacy and security of continent catheterizable channels at short and middle term for adult neurogenic bladder dysfunction

Arber, T.; Ruffion, A.; Terrier, Jean; Paparel, P.; Journel, N. Morel; Champetier, D.; Dominique, I.

doi:10.1016/j.purol.2019.08.278

Cited by 4 publications

(7 citation statements)

References 22 publications

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“…Recent literature also shows good results with a continence rate at conduit level between 58.40% and 100% [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,15 ▪ ,17 ▪▪ ,18 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 78%

“…In pediatric series, continence rates following catheterizable conduits have been reported to be between 79% and 100% [14]. In the adult population, similar rates have been reported [11,14,17 ▪▪ ,18 ▪ ]. A retrospective study of Harris et al reported an incontinence rate of 0–7% in 50 consecutive patients in whom an appendicovesicstomy was performed with a mean follow-up of 4.3 years (range 3 months to 16.3 years) [19].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 84%

“…Stenosis in adult surgery is the most frequently encountered complication in this procedure, with highly variable reported percentages ranging from 0 to 100% and with the incidence generally increasing with the length of follow-up [11,14,15 ▪ ,16,17 ▪▪ ,18 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 99%

“…There remains a lack of consensus and a lack of adequate data on the optimal tissue to form the continent catheterizable channel [17 ▪▪ ]. In the reviewed studies, appendix and ileum are most commonly used [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,17 ▪▪ ,18 ▪ ], but the study of O’Connor really looks at differences between the various tissues used. The appendiceal channels had a lower rate of stomal incontinence.…”

Section: Type Of Tissue For Channel Formationmentioning

confidence: 99%

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The feasibility and efficacy of catheterizable stoma's in adults

Beels

Thiruchelvam

2021

Current Opinion in Urology

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Purpose of reviewA continent vesicostomy represents a useful alternative for adult patients with impaired bladder emptying who are unable to perform clean intermittent (self-) catheterization through the urethra. In a pediatric setting, there exists a vast experience in these procedures. But experience with continent catheterizable vesicostomies is less abundant in adult patients. We want to give an overview and discuss recent literature about catheterizable conduits in the adult population.Recent findingsAdult patients who undergo continent vesicostomy comprise a diverse cohort. Because of this very heterogeneous population, it can be difficult to make an objective analysis and draw conclusions on both the success rate and complication rate of these diversions. We will discuss short- and long-term surgical outcomes and changes in quality of life after the procedure in these patients.SummaryA continent vesicostomy is a valuable and durable reconstructive technique for adult patients with impaired bladder emptying. Surgery can be challenging and a better knowledge of complications can help with patient counseling. In the future we hope that minimally invasive surgery will decrease the morbidity of such surgery and hopefully also improve functional outcomes and diminish the complication rate.

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“…Recent literature also shows good results with a continence rate at conduit level between 58.40% and 100% [3 ▪ ,5 ▪ ,12 ▪ ,13 ▪▪ ,15 ▪ ,17 ▪▪ ,18 ▪ ].…”

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 78%

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 84%

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 99%

Section: Type Of Tissue For Channel Formationmentioning

confidence: 99%

See 2 more Smart Citations

The feasibility and efficacy of catheterizable stoma's in adults

Beels

Thiruchelvam

2021

Current Opinion in Urology

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“…[12][13][14] In this study, we investigated whether the proven benefits of CISC in early bladder care of women following RH are appropriate in late postoperative bladder dysfunction care in Chinese women. [15][16][17]…”

Section: Introductionmentioning

confidence: 99%

Effects of clean intermittent self-catheterization on late bladder dysfunction after radical hysterectomy in cervical cancer

Shen

Wang

et al. 2019

J Int Med Res

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Objective To identify the benefits of clean intermittent self-catheterization in women who have late bladder dysfunction caused by radical hysterectomy in cervical cancer. Methods Thirty women who underwent radical hysterectomy with late bladder dysfunction were recruited. A nursing intervention program focusing on clean intermittent self-catheterization and a drinking plan was implemented. We recorded urinary times during the day and night, post-voiding residual urine volume, positive catheter specimen of urine rate, and quality of life instruments for patients with cervical cancer . Results All patients were able to satisfactorily manage clean intermittent self-catheterization following video-based operational training. Bladder function was significantly increased after 3-month intervention compared with before the intervention. Urinary times during the day and night, and post-voiding residual urine volume were greatly decreased post-intervention compared with pre-intervention. The rate of a positive catheter specimen of urine test significantly decreased over time. There was significant improvement in quality of life in five dimensions between weeks 1 and 12 following the intervention. Conclusions Patients are able to learn the technique of clean intermittent self-catheterization without any difficulty. This technique is effective together with a drinking plan to decrease late bladder dysfunction caused by radical hysterectomy in cervical cancer.

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