Efficacy of bladder irrigation and surveillance program in prevention of urinary tract infections and bladder calculi in children with an ileocystoplasty and bladder neck repair

Heijkant, Marleen van den; Haider, Nadeem; Taylor, Craig; Subramaniam, Ramnath

doi:10.1007/s00383-011-2913-5

Cited by 19 publications

(11 citation statements)

References 28 publications

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“…In an attempt to reduce the incidence of lithiasis, which may require a surgical procedure for calculus removal and may be associated with urinary infection, periodic bladder washing with 50 ml of saline solution two to four times a day is recommended. The intestinal segment used for augmentation may produce large amounts of mucus which facilitate the obstruction of the bladder outlet and the formation of calculi 19,20 . A technical step that may be of help in reducing the incidence of lithiasis is the site of conduit implantation (Mitrofanoff) for catheterization.…”

Section: Resultsmentioning

confidence: 99%

Complications after bladder augmentation in children

et al. 2016

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PURPOSE:Bladder augmentation is an effective surgical procedure for increasing bladder capacity and reducing pressure on the urinary system. It is indicated for patients with anomalies such as spina bifida, myelomeningocele, urethral valve and bladder exstrophy, who progress with low tolerance of medication. CASES:This was a retrospective study conducted on pediatric patients submitted to bladder augmentation from 2000 to 2011.RESULTS: 34 patients aged 4 to 17 years were submitted to bladder augmentation, 30 of them with an ileal loop and 4 with a ureter.A continent urinary shunt was performed in 16 patients, the Mitrofanoff conduit was associated in 15, and the Macedo technique was used in one. Mean follow-up was 34.35 months (1 to 122 months). Mean creatinine was 1.5 ng/ml (0.4 to 7.5 ng/ml) preoperatively and 1.78 ng/ml postoperatively. Three patients required a renal transplant during follow-up. There was improvement or resolution of vesicoureteral reflux in 83.5% of the kidneys on the right and in 75% on the left. Bladder capacity increased, on average, from 152.5 ml to 410 ml. The main complications were vesical lithiasis in 3 patients and conduit perforation in one. CONCLUSION:Bladder augmentation showed good results in this series, preserving renal function in most of the patients.

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Section: Resultsmentioning

confidence: 99%

Complications after bladder augmentation in children

et al. 2016

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“…Moreover, Corynebacterium has been shown to cause UTIs in patients with underlying urological diseases and stone formation [26,27]. Both are well-established complications of bladder augmentation [2]. Therefore, potential therapeutic approaches to decrease the abundance of Corynebacterium after bladder augmentation using, for instance, probiotics and their clinical benefits are subject for future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Several techniques, including ileocystoplasty (ICP) or colocystoplasty (CCP), have been described. However, it is well known that bladder augmentation can be associated with a variety of long-term complications, including excessive mucus production, electrolyte imbalances, metabolic acidosis, somatic growth retardation, vitamin B12 deficiency, and the formation of bladder calculi [2]. Histological changes and tumor formation in the augmented bladder are the most severe postoperative complications [3].…”

Section: Introductionmentioning

confidence: 99%

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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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“…11 In addition, the use of bladder instillation with acetylcysteine has been reported to decrease mucus and stones. 11,31 The risk is highest in the first 2 years after the reconstructive surgery, and regular follow-up with ultrasound studies is indicated.…”

Section: Bladder Stonesmentioning

confidence: 99%