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

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

doi:10.1016/s2666-1683(20)33043-3

Cited by 2 publications

(8 citation statements)

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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%

“…Arber et al had an overall effectiveness (continent, catheterizable and no need for reintervention) of 67.9% at 3 months postoperative and 45.3% at 12 months. Forty-four patients (83%) had a catheterizable conduit 3 months postoperative and that remained stable until 12 months postoperative (n = 45, 84.9%) [18 ▪ ]. The series of O’Connor showed that although 38.7% of patients underwent major surgical revision of the channel, 75.9% of channels were continued to be used, of which 90.2% were continent [17 ▪▪ ].…”

Section: Discussionmentioning

confidence: 99%

“…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: Discussionmentioning

confidence: 99%

Section: Short- and Long-term Surgical Outcomesmentioning

confidence: 99%

Section: Type Of Tissue For Channel Formationmentioning

confidence: 99%

See 3 more Smart Citations

The feasibility and efficacy of catheterizable stoma's in adults

Beels

Thiruchelvam

2021

Current Opinion in Urology

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Complications of Continent Cutaneous Catheterizable Channel in Adult

Balani¹,

Mahar²,

Memon³

et al. 2022

PJMHS

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Aim: To determine the frequency of postoperative complications related to continent cutaneous channel. Study Design: Descriptive study Place and duration of study: Department of Urology, Sindh Institute of Urology & Transplantation, Karachi, Pakistan from 1st August 2019 to 30th November 2021 Methodology: One hundred and seven patients underwent continent catheterizable channel formation via Mitrofanoff principle were included. Each patient was followed in OPD up to 6 months post-procedure to assess the complications i.e. stomal stenosis, stomal incontinence and surgical site infection. Results: Mean age was 31.07±12.78 years. Out of 107 patients, 85(79.4%) were males while 22(20.6%) were females. Postop stenosis was found in 26(24.3%), incontinence in 3(2.8%) while surgical site infection was noted in 48(44.9%) patients. Conclusions: Surgical site infection is the most common postoperative complication that warrants attention followed by stenosis and incontinence. Keywords: Continent cutaneous channel, Mitrofanoff, Stomal stenosis, Stomal incontinence

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

Cited by 2 publications

References 0 publications

The feasibility and efficacy of catheterizable stoma's in adults

The feasibility and efficacy of catheterizable stoma's in adults

Complications of Continent Cutaneous Catheterizable Channel in Adult

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